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目的:探讨原发性胆囊癌患者外科治疗方法和预后影响因素。方法:从2010年1月至2014年12月来我院采用外科手术治疗原发性胆囊癌的患者中选出70例,对患者临床诊断情况、手术效果以及预后影响因素进行分析。结果:临床利用超声检查的准确率为54.29%(38/70)、CT扫描准确率为66.67%(40/60)、磁共振检查准确率为71.43%(50/70)。患者术后1年生存率为71.43%(50/70)、术后2年生存率为51.43%(36/70)、术后3年生存率为28.57%(20/70)。影响患者预后生存时间的因素包括肿瘤大小、N分期、肿瘤转移、黄疸梗阻症状、肿瘤分化程度以及手术方法。结论:原发性胆囊癌患者根治性手术存活率较高,病症诊断准确率较低,因此对疑似病例也需采取谨慎治疗态度。
Objective: To investigate the surgical treatment and prognostic factors in patients with primary gallbladder carcinoma. Methods: From January 2010 to December 2014, 70 patients were selected from our hospital for surgical treatment of primary gallbladder carcinoma. The clinical diagnosis, surgical outcome, and prognostic factors were analyzed. Results: The accuracy of clinical use of ultrasound was 54.29% (38/70), the accuracy of CT scan was 66.67% (40/60), and the accuracy of magnetic resonance examination was 71.43% (50/70). The postoperative 1-year survival rate was 71.43% (50/70), the postoperative 2-year survival rate was 51.43% (36/70), and the postoperative 3-year survival rate was 28.57% (20/70). The factors affecting the survival time of patients include tumor size, N stage, tumor metastasis, jaundice obstruction symptoms, tumor differentiation, and surgical methods. CONCLUSIONS: The survival rate of patients with primary gallbladder carcinoma is high, and the accuracy of diagnosis of the disease is low. Therefore, careful treatment of suspected cases is also required.