原发性胆囊癌的早期诊断及其相关危险因素

The Early Diagnosis and Risk Factors on Primary Carcinoma of Gallbladder

目的 探讨原发性胆囊癌的早期诊断及其相关危险因素。方法 回顾性分析 44例原发性胆囊癌患者的临床资料及手术治疗情况。结果 44例原发性胆囊癌患者中 ,有胆道疾病史者 3 4例 ;首发症状以腹痛最为常见 ,共 3 8例 (86.4% ) ,其次为黄疸 2 6例 (5 9.1% ) ,肝脏肿大 2 2例 (5 0 .0 % ) ,发热 2 1例 (4 7.7% )。B超和CT诊断准确率分别为 3 6.4%和 85 .5 % ;3 1例患者行手术治疗 ,术前确诊率为 3 8.7%。结论 原发性胆囊癌早期诊断非常不易。CT诊断准确率较高。胆囊结石。

Objective To investigate the early diagnosis and risk factors on primary carcinoma of gallbladder.Methods A retrospective analysis was made for 44 patients with primary carcinoma of gallbladder.Results 34 of 44 patients had the history of gallbladder diseases.Bellyache was the most common initial symptoms,accounting for 86.4%(38/44),the other was jaundice,59.1%(26 cases),hepatomegaly 50.0%(22 cases),fever 47.7%(21 cases) respectively.The accurate rate of B mode ultrasonography and computer tomography diagnosis 36.4% and was 85.5% respectively.31 patients underwent operations.The diagnosis rate was 38.7% before operation.Conclusion The early diagnosis of primary carcinoma of gallbladder is very difficult.The accurate rate of computer tomography diagnosis is higher.The risk factors of primary gallbladder carcinoma are cholecystolithiasis,cholecystitis and cholecystic polyp.