原发性胆囊癌的早期诊断与治疗

Diagnosis and treatment of primary gallbladder carcinoma

目的:探讨原发性胆囊癌的早期诊断和治疗方法。方法回顾分析39例原发性胆囊癌患者的诊治资料。结果术前确诊率仅为51.3%(20/39)。单纯胆囊切除4例,胆囊加肝楔形切除6例,胆囊加肝楔形切除加区域淋巴结清扫9例,胆肠内引流2例,胃空肠吻合1例,仅行剖腹探查8例,非手术治疗9例。结论B超和CT是早期诊断胆囊癌的主要手段,手术切除是最佳选择,术后综合治疗有重要意义。

Objective To explore the diagnostic methods and the effect of treatment of primary gallbladder carcinoma.Methods The clinical data of 39 cases of primary gallbladder carcinoma were analyzed retrospectively. Results Preoperative diagnostic rate were 51.3%,simple cholecystectomy in 4 cases,gallbladder+liver wedge resection in 6,gallbladder+liver wedge resection+regional lymphadenectomy in 9,biliary-jejunal internal drainage in 2,gastro-jejunostomy in 1.Laparotomy exploration only in 8 cases,no operative in 9.Conclusion BUS and CT are main method in early diagnosis of primary gallbladder carcinoma,operative resection is the best choice and postoperative comprehensive therapy is also important.