摘要
目的：探讨老年原发性胆囊癌（以下称胆囊癌）的临床特点。方法：对我院近２０年收治的３３例老年胆囊癌的病因、临床症状、诊断及治疗进行分析。结果：合并胆囊结石者占５７．６％。临床症状主要为腹痛、腹部肿块、黄疸。晚期病例占７２．７％，肝脏转移最多见。Ｂ超诊断阳性率为６５．５％。病理类型以腺癌为主。手术是基本治疗措施。结论：老年人胆囊癌早期诊断极为困难，对有胆石症、胆囊息肉的中老年患者应尽可能早期手术治疗，以防胆囊癌的发生。
Objective：In order to make clear the clin ical characteristics of primary gallbladder carcinoma in elderly patients.Methods:In recent 20 years 33 elderly patients with gallbladder carcinoma were treated in our hospital and the pathogeny,clinical features,diagnosis and treatment were discussed.Results:Gallbladder carcinoma with gall stones was about 57.6%.Abdominal pain,mass and jaundice were main symptoms.Advan ced stage cases were about 72.2% and liver was the main site of metastasis.The p ositive diagnosis rate of B ultrasonic wave was 65.5%.Adenocarcinoma was major p athomorphology type.Operation was the basic measure in treating gallbladder carc inoma.Conclusions:It was very difficult to make a definite diagnos is of early stage gallbladder carcinoma in elderly patients.To prevent gallbladder carcinoma,an early operation on the middle-aged and elderly patients with cholecystolithiasis and polyp of the gallbladder is advisable.
出处
《重庆医科大学学报》
CAS
CSCD
2001年第3期329-331,共3页
Journal of Chongqing Medical University
关键词
胆囊癌
胆囊结石
老年人
Gallbladder carcinoma
Gall stone
The aged
