胆囊癌29例分析

Analysis of 29 cases of carcinoma of gallbladder.

目的探索胆囊癌的防治方法。方法分析29例胆囊癌病人临床资料、治疗方法及结果。结果术前诊断明确者21例,剖腹探查发现已属晚期,9例为Ⅳ期行根治术,12例为Ⅴ期未行根治术,均于术后1年内死亡。术前怀疑胆囊癌者5例,剖腹探查冰冻切片证实为Ⅴ期及Ⅳ期者各1例,Ⅴ期未行根治术,Ⅳ期行根治术,均于术后1年内死亡;Ⅲ期者3例,行胆囊癌根治术分别于术后10月、13月、17月死亡。2例术中冰冻切片发现的Ⅱ期胆囊癌,行胆囊癌根治术,分别于术后23月、26月死亡。1例意外胆囊癌属Ⅰ期胆囊癌,术后5年半死亡。结论要减少胆囊癌危害,重在及时治疗胆囊结石。

Objective To explore the methods of the prevention and treatment on carcinoma of the gallbladder. Methods Twenty nine patients with carcinoma of gallbladder were reviewed retrospectively. The clinical data , methods of treatment and result were collected . Results Twenty one cases which were diagnosed before operation, 9 cases were stage Ⅳ of carcinoma of gallbladder and were treated by radical resection,12 cases were stage Ⅴ of carcinoma of gallbladder and weren’t treated by radical operation,all of them died within one year . In 5 cases of doubtful cancer , one was proved to be Ⅳ stage and was treated by radical operation ,one was proved to be Ⅴ stage and wasn’t treated by radical operation. Both of them died within one year ; radical operation were performed on other 3 patients , they died in 10,13,17 months after operation respective ly .2 cases which were confirmed to be Ⅱstage by frozen section , we treated them by radical operation and they lived for 23 , 26 months respectively . A patient with unexpected cancer enjoys prolonged survival for 5.5 years after operation . Conclusion In order to reduce the death rate of gallbladder cancer,cholelithiasis and polypoid must be treated in time.