原发性胆囊癌60例诊治体会

Experience in diagnosis and treatment of primary gallbladder cancer in 60 cases

目的总结原发性胆囊癌的外科诊治体会。方法回顾性分析2005年4月至2007年12月我院治疗的60例原发性胆囊癌的诊治资料。结果本组行B超或CT检查,诊断为胆囊癌的符合率分别为69.3%、72.5%;行剖腹探查及取活检术24例,单纯胆囊切除术17例,4例行胆道内支架植入内引流术。病理学检查示腺癌39例。随访41例,1年内死亡22例,2年内死亡l2例,3年内死亡6例,1例存活5年以上。结论手术是治疗原发性胆囊癌的首选方法,早期诊断和早期根治性手术对提高原发性胆囊癌患者的生存率具有重要意义。

Objective To sum up the experience of diagnosis and treatment in primary gallbladder carcinoma. Methods The data of diagnosis and treatment in 60 patients with primary gallbladder carcinoma during April, 2005 to December, 2007 in this hospital were retrospectively reviewed and analyzed. Results The accurate rates of B type uhrasonography and CT scanning were 69.3 % and 72.5 % respectively in patients of this group. Laparotomy and biopsy were taken in 24 cases, a simple cholecystectomy had been taken in 17 cases and routine biliary stent drainage was carried out in 4 cases. Pathological examination showed adenocarcinoma in 39 cases. 41 cases were followed - up, death had happened in 22 cases during the year, death within 2 years in 12 cases, death in 3 years in 6 cases and survival in 1 case for more than 5 years. Conclusion Operation is the treatment for first choice for gallbladder cancer, early diagnosis and early radical operation is important in raising the survival rate of patients with primary gallbladder carcinoma.