原发性胆囊癌29例临床分析

Clinical analysis of 29 patients with primary gallbladder carcinoma

目的探讨如何提高原发性胆囊癌的早期诊断和有效治疗的方法,以期进一步改善胆囊癌患者的预后。方法对29例原发性胆囊癌一般情况、诊断、治疗、病理分型、临床分期等进行分析。结果诊断主要依靠B超、CT和MRI,术前诊断胆囊癌14例(48.3%)。Ⅰ期2例、Ⅱ期3例、Ⅲ期2例行单纯胆囊切除术,Ⅲ期2例、Ⅳ期2例行胆囊根治性切除术;手术切除率为62.1%。结论手术是原发性胆囊癌病人最好的治疗方法,早期诊断和早期手术切除是提高疗效的关键。

Objective To find out how to boost the early diagnosis and effective treatment on primary gallbladder carcinoma. Methods The data of current general health , diagnosis , treatment , pathologic classification and clinical stages of 29 patients with primary gallbladder carcinoma were analyzed. Results B-ultrasonography , CT and MRI were employed to confirm diagnosis. Of 29 cases, 14(48.3% )patients confirmed to be gallbladder carcinoma cases. 2 cases of stage Ⅰ ,3 cases of stage Ⅱ and 2 cases of stage Ⅲ were undergone cholecystectomy. 2 cases of stage Ⅲ and 2 cases of stage Ⅳ were received radical resection. The rate of surgical resection was 62. 1 % . Conclusion The surgical operation is recommended to treat patients with primary gallbladder carcinoma, but early diagnosis and treatment can be a priority for them.