胆囊癌37例临床分析

Clinical analysis of 37 cases of gallbladder carcinoma

目的:探讨胆囊癌的临床特点。方法:对我院及上海东方肝胆外科医院收治的37例胆囊癌进行临床分析。结果:胆囊癌多见于老年人,女性多于男性,并存胆囊结石发生率81.1%。结论:B超、CT是常用的诊断方法,早期病例B超诊断率较高,晚期病例CT诊断率高于B超,手术方式及治疗效果取决于胆囊癌的分期及分级。

Objective： In order to make clear the clinical characteristics of gallbladder carcinoma. Methods ： 37 cases of gallbladder carcinoma treated in mine and eastern hepatobiliary surgery hospital have been analyed. Results ： The higher incidence was in the elderly and the ratio between femal and male is 2.1 to 1. Clinical symptoms include right upper abdominal pain, nausea, fever, jaundice and abdominal mass. With gallstones is about 81.1%. Conclusion ： BUS and CT are common diagnostic methodsd. BUS is more reliable in early case, but CT in late case. The type of operation and the result of treatment are dependent on the pathologic stage and grade.