原发性胆囊癌43例分析
胆囊肿瘤,,胆囊肿瘤;,外科手术;5年生存率,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 总结原发性胆囊癌的治疗经验，探讨提高原发性胆囊癌生存率的方法。方法 回顾性分析我院1995～2005年收治的43例胆囊癌病例的临床资料。结果 43例患者中，男14例，女29例。B型超声与CT的确诊率分别为80.9%、85.7%。Ⅰ、Ⅱ期病例行单纯胆囊切除即可获得良好的生存率，其3年存活率为100%，5年存活率为75%，Ⅲ、Ⅳ期病例行根治术后2年存活率为46.2%，Ⅴ期病例术后存活多不超过1年。结论 B型超声与CT仍是诊断原发性胆囊癌的重要手段。手术是治疗原发性胆囊癌的首选方法，早期诊断和早期根治性手术是提高原发性胆囊癌患者生存率的关键。对有高危因素的患者，应早期行胆囊切除术。【关键词】 胆囊肿瘤; 外科手术;5年生存率
Surgical treatment of the primary gallbladder cancer in 43 cases
LIANG Hao-hui，WANG Cheng-you，ZHANG Min-jie,et al.
Department of General Surgery, The Second Peoples Hospital of Shenzhen, Guangdong 518035,China
【Abstract】 Objective To sum up the experience of the surgical treatment and to improve the prognosis of the primary gallbladder cancer.Methods An analysis was made on 43 cases of gallbladder cancer in our hospital from 1995 to 2005, retrospectively.Results There were 14 males and 29 females,there were 34 cases (80.9%) definitely diagnosed by preoperative ultrasonography, and 30(85.7%) by CT.Long-term survivals were achieved almost only in the cases of stage Ⅰ and Ⅱ with 3-year survival rate of 100% and 5-year survival rate of 75%. Two-year survival rate in stage Ⅲ and Ⅳ cases was 42.9% after radical cholecystectomy. Almost all stage Ⅴ cases died in 1 year postoperation.Conclusion Ultrasonography and CT-scan were important to preoperative diagnosis. Surgical operation is the first choice of therapy. Early diagnosis and radical resection are still the main factors for long-term survival of the patients with primary gallbladder cancer. Cholecystectomy is recommended for high risk patients. ......
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