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目的探讨原发性胆囊癌的诊断与治疗。方法回顾性分析我院1976年4月至2006年4月收治的经手术及病理证实的原发性胆囊癌38例资料,其中男性9例,女性29例。结果最常见的症状依次为反复上腹痛或右上腹痛38例,黄疸16例,右上腹包块13例,肝功能异常16例。B超、CT和MRI等影像诊断技术和腹腔镜技术有助于胆囊癌的早期诊断,但目前临床上仍以中晚期胆囊癌占绝大多数。结论要提高胆囊癌患者的生存率,早期诊断是关键。对存在有胆囊癌发病的高危因素及病因的应B超随访,B超可列为术前诊断的首选方法,手术切除仍是最有效的治疗方法,对难以手术切除的中晚期患者,应采取积极措施以提高生活质量及延长生存时间。
Objective To investigate the diagnosis and treatment of primary gallbladder cancer. Methods Retrospective analysis of 38 cases of primary gallbladder carcinoma confirmed by surgery and pathology in our hospital from April 1976 to April 2006, including 9 males and 29 females. Results The most common symptoms followed by repeated upper abdominal pain or right upper quadrant pain in 38 cases, 16 cases of jaundice, right upper quadrant mass in 13 cases, 16 cases of abnormal liver function. B ultrasound, CT and MRI and other diagnostic imaging techniques and laparoscopy help to early diagnosis of gallbladder cancer, but the clinical still in the majority of advanced gallbladder cancer accounted for the vast majority. Conclusion To improve the survival rate of patients with gallbladder cancer, early diagnosis is the key. The presence of risk factors for gallbladder disease and etiology should be B-follow-up, B-ultrasound can be classified as the preferred method of preoperative diagnosis, surgical resection is still the most effective treatment for patients with advanced surgery is difficult to remove Active measures to improve quality of life and prolong survival.