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目的 探讨临床极易误诊为胆囊癌的结石性胆囊炎临床鉴别及手术治疗要点. 方法 回顾性总结2例术前均误诊胆囊癌的结石性胆囊炎患者临床病历资料,并进行文献复习. 结果 患者术后病情平稳,无手术并发症发生,分别随访16个月和12个月,均生存良好. 结论 有效地认识此类疾病,良好的病史采集、实验室、影像检查与术前评估,可有效减少此类疾病的误诊;术中细致精巧的处理和完善的术后治疗,预后良好.“,”Objective To explore the clinical identification and surgical treatment points of the calculous cholecystitis easily misdiagnosed as gallbladder carcinoma.Methods The clinical data of two cases with calculous cholecystitis misdiagnosed as gallbladder carcinoma were retrospectively analyzed.And associated literatures were reviewed.Results The two patients were in stable condition after the operation without operative complications.They were followed up 16 or 12 months and survived well.Conclusions The multiple strategies as effective understanding of the calculous cholecystitis,good medical history-taking,complete laboratory,imaging and preoperative assessment,can effectively reduce the misdiagnosis of such diseases.The ideal prognosis can be achieved based on meticulous and delicate surgical operating and thorough postoperative treatment.