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目的探讨提高原发性胆囊癌早期诊断率的方法。方法对87例经手术后病理证实为原发性胆囊癌的临床资料进行回顾性分析。结果腺癌71例,鳞腺癌12例,鳞癌4例。有44.8%的病例伴发结石。B型超声确诊率为75%,CT为70%,胆道造影为67%。手术切除率为63.2%。结论早期诊断是提高治疗效果的关键。B型超声对胆囊癌的临床诊断具有较高的价值。
Objective To explore ways to improve the early diagnosis rate of primary gallbladder cancer. Methods The clinical data of 87 patients with primary gallbladder carcinoma confirmed by pathology were retrospectively analyzed. Results Adenocarcinoma in 71 cases, 12 cases of squamous cell carcinoma, squamous cell carcinoma in 4 cases. 44.8% of the cases accompanied by stones. The diagnosis rate of type B ultrasound was 75%, CT was 70% and cholangiography was 67%. Surgical resection rate was 63.2%. Conclusion Early diagnosis is the key to improve the therapeutic effect. B-type ultrasound in the diagnosis of gallbladder cancer has a high value.