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目的 :探讨降低胆囊结石合并原发性胆囊癌的误漏诊率。方法 :回顾性分析本院 10年间手术切除的 662例胆囊结石术中 ,发现 12例原发性胆囊癌的临床资料。结果 :8例Ⅰ期患者 5年生存率 10 0 % ,3例Ⅱ期患者平均生存 13个月 ,1例Ⅲ期患者生存仅 6个月。结论 :加强高危人群监测及术中快速冰冻切片是降低原发性胆囊癌误漏诊率的重要措施。
Objective: To explore the ways to reduce the misdiagnosis rate of cholecystolithiasis with primary gallbladder cancer. Methods: The clinical data of 12 cases of primary gallbladder cancer were retrospectively analyzed in 662 cases of cholecystolithiasis treated surgically in our hospital during 10 years. Results: The 5-year survival rate was 10% in 8 patients with stage Ⅰ disease, 13 patients survived in 3 patients with stage Ⅱ disease, and 1 patient with stage Ⅲ disease survived only 6 months. Conclusion: It is an important measure to reduce the misdiagnosis rate of primary gallbladder cancer by strengthening the monitoring of high-risk population and rapid intraoperative frozen sectioning.