摘要
目的 探讨胆囊癌的临床治疗方法及其预后。方法 回顾性分析 161例胆囊癌的临床资料 ,其中单纯胆囊切除 48例 ,根治性胆囊癌切除 41例 ,胆囊癌扩大切除 2 0例 ,胆囊加胰十二指肠切除 3例 ,单纯探查术 7例 ,介入及放化疗 42例。随访 6个月至 5年。结果 行探查术患者 1年内全部死亡 ,单纯胆囊切除和根治性胆囊癌切除患者的 5年生存率分别为 69%、5 9% ,放疗和介入治疗患者的 5年生存率为 0。结论 胆囊癌早期发现 ,并行根治性切除 ,可显著提高
Objective To elucidate the treatment and the prognosis of gallbladder carcinoma.Methods The clinical data of 161 cases of gallbladder carcinoma were anlayzed retrospectively.simple cholecystectomy was performed on 48 cases,radical resection of gallbladder carcinoma on 41 cases,extensive surgery of gallbladder carcinoma on 20 cases,Cholecystectomy and whipple on 3 cases and simple exploration on 7 cases.42 cases received radiation therapy and chemotherapy.The follow-up period was six months to 5 years.Results 7 cases with simple exploration all died in one year.The 5-year survival rates of patient with the two kinds surgery were 69% and 59%.None of patients with radiation therapy and chemotherapy survived for 5 years.Conclusion The 5-year survival rate of patients with gallbladder carcinoma can increase markedly if early detection and radical resection surgery are performed.
出处
《实用癌症杂志》
2004年第1期64-65,共2页
The Practical Journal of Cancer
关键词
胆囊癌
治疗
根治性切除
生存率
Gallbladder carcinoma
Radical resection
Survival rate
