胆囊癌早期诊断的临床探讨

Clinical Study on Early Diagnosis of Gallbladder Carcinoma

目的分析探讨胆囊癌早期诊断的临床价值。方法方便选取2011年11月—2016年11月收治的19例胆囊癌患者,回顾性分析所有患者的临床资料以及具体的治疗方式。结果胆囊癌少见且与胆囊结石、胆息肉之间具有较大的关联性,所有患者均进行磁共振、CT以及B超检查,磁共振检查诊断准确率为52.62%,CT诊断准确率为47.3%,B超诊断准确率为57.89%,均接受手术治疗,9例患者术前确诊为胆囊癌,确诊率为56.25%;6例考虑胆囊癌可能,占31.57%。3例术中诊断为胆囊癌,确诊率为15.78%。结论对早期胆囊癌患者的诊断难度较大,应对胆囊癌早期症状与发病机制重要性加强认识,联合使用CT、B超等多种检查手段,及早发现患者病情。

Objective To analyze the clinical value of early diagnosis of gallbladder cancer. Methods 19 patients with gallbladder cancer admitted from November 2011 to November 2016 were convenient retrospectively analyzed for clinical data and specific treatment modalities. Results Gallbladder carcinoma was rare and had a strong correlation with gallstones and bile polyps. All patients underwent magnetic resonance, CT and B-ultrasound examination. The diagnostic accuracy of magnetic resonance imaging was 52.62%, and the diagnostic accuracy of CT was 47.3%, B ultrasound diagnosis accuracy rate of 57.89%, were treated with surgery, 9 patients diagnosed as gallbladder cancer before surgery, the diagnosis rate was 56.25%;6 cases considered gallbladder cancer may account for 31.57%. Three cases were diagnosed as gallbladder cancer, and the diagnosis rate was 15.78%. Conclusion It is difficult to diagnose patients with early gallbladder cancer. It should strengthen the understanding of the early symptoms and pathogenesis of gallbladder cancer, and use CT, B-ultrasound and other examination methods to detect the patient's condition early.