摘要
目的探讨胆囊癌的临床特点和诊治方法的选择。方法对1995～2006年间收治的36例胆囊癌患者的临床资料进行回顾性分忻。结果24例（66．7％）有胆囊癌合并胆囊结石；中晚期病例有31例（86．1％），合并肝功能异常者17例（47．2％）。手术切除率为66．7％，其中行根治性切除10例，根治率为29．4％。根治性手术的1、3年生存率分别为40％、10％；姑息性手术的1、3年生存率分别为16．7％、0。结论胆囊癌的发病率上升且与胆囊结石关系密切，早期诊断与治疗是提高生存率的关键。
Objective To investigate the clinical features and treatment for gallbladder carcinoma. Methods 36 cases with gallbladder carcinoma were followed up from1995 to2006 and analyzed according to clinical data. Results 24 cases （66.7 % ） ended up with cholecy stolithiasis ; 17 cases （47.2%） out of 31 （ 86. 1% ） late gallbladder carcinoma cases had liver dysfunction ;66.7% patients were performed surgery, including 10 radical gall-ectomy, the cure rate is 29.4%. The one-year-survival rate after the radical gallectomy treatment is 40% vs 3-year-survival rate is 10%. While palliative operation , the survival rates are 16.7% and 0. Conclu- sion The rising rate of gall bladder carcinoma has close relationship with cholecy stolithiasis;early diagnosis and treatment is critical for the rescue of gallbladder carcinoma.
出处
《中国实用医药》
2008年第12期75-77,共3页
China Practical Medicine
关键词
胆囊癌
诊断
外科手术
Gallbladder cystocarcinoma
Diagnosis
Surgery
