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胆囊癌临床症状与体征缺乏特异性,极难与良性胆道病变相鉴别,漏误诊病例屡有发生。本文通过对病理证实的38例胆囊癌术前B超误诊原因的探讨分析,旨在从中吸取经验教训,提高诊断率。1 临床资料 本组男24例,女14例,年龄28～79岁,平均42.6岁。主要症状为右、中上腹持续性或不规则性疼痛,进行性加重,部分向右肩背部放射,并伴有食欲不振,恶心、呕吐、消瘦、乏力。16例病人有阻塞性黄疸,29例可触及腹块。超声诊断仪探头频率为3.5MHz、3.75MHz。病人取仰卧位和右前斜位,常规在肝区右中上腹行肋间横切、纵切和助缘下斜切。
The lack of specificity of clinical symptoms and signs of gallbladder cancer is extremely difficult to distinguish from benign biliary lesions. Misdiagnosis and misdiagnosis cases occur frequently. This article analyzes the causes of pathological misdiagnosis of 38 cases of gallbladder carcinoma confirmed by pathology and aims to draw lessons from it and improve the diagnostic rate. 1 clinical data of this group of 24 males and 14 females, aged 28 to 79 years, an average of 42.6 years. The main symptoms are persistent or irregular pain in the right and middle upper abdomen, which are progressively worsened, and some of them radiate to the right shoulder and back, accompanied by loss of appetite, nausea, vomiting, weight loss, and fatigue. 16 patients had obstructive jaundice and 29 patients had palpable abdominal masses. Ultrasound probe frequency is 3.5MHz, 3.75MHz. The patient took a supine position and a right anterior oblique position, and routinely performed an intercostal cross-section, a longitudinal incision, and an assisted oblique incision in the right and middle abdominal regions of the liver.