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胆囊癌临床上并不少见,但由于胆囊癌起病隐匿,早期诊断不易。我们自1980年以来经手术病理证实胆囊癌32例,其中术前行B超检查27例。现结合临床对B超对胆囊癌的诊断价值作一探讨。 1.临床资料 1.1 一般资料 本组男性12例,女性15例。年龄34～88岁,平均57.96岁,大于50岁者17例占62.96％。 1.2 临床表现 右上腹痛20例占74.07％,发热6例占22.22％,恶心呕吐10例占37.04％,黄疸4例占14.81％,腹部包块1例占3.7％。无症状1例占3.7％。 1.3 胆囊癌B超诊断依据:①胆囊自然形态失常:②
Gallbladder cancer is not uncommon in clinical practice, but early diagnosis is not easy because gallbladder cancer is insidious. We have confirmed 32 cases of gallbladder carcinoma by pathology since 1980, including 27 cases of B-ultrasound before surgery. Combined with the clinical diagnosis of B-cell gallbladder cancer to make a discussion. 1. Clinical data 1.1 General information The group of 12 males and 15 females. The age ranged from 34 to 88 years old, with an average of 57.96 years old. Among those over 50 years old, 17 cases accounted for 62.96%. 1.2 clinical manifestations of right upper quadrant pain in 20 cases accounted for 74.07%, fever in 6 cases accounted for 22.22%, nausea and vomiting in 10 cases accounted for 37.04%, 4 cases of jaundice accounted for 14.81%, abdominal mass in 1 case accounted for 3.7%. Asymptomatic 1 case accounted for 3.7%. 1.3 Diagnosis of Gallbladder Carcinoma by Ultrasound: 1 Gallbladder Natural Morphology Disorder: 2