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目的探讨胆囊癌诊治的有效途径。方法对我院1999年1月～2008年12月收治的31例原发性胆囊癌临床资料回顾性分析。结果 B超、CT是诊断胆囊癌的主要手段;61.3%的胆囊癌合并胆囊结石。结论Ⅰ期胆囊癌行单纯胆囊切除术,Ⅱ、Ⅲ期胆囊癌首选根治性手术,Ⅳ、Ⅴ期采取综合治疗。早期诊断是提高胆囊癌患者生存时间的有效方法。对高危胆囊结石的患者宜积极行胆囊切除术。
Objective To explore the effective ways of diagnosis and treatment of gallbladder cancer. Methods Retrospective analysis of 31 cases of primary gallbladder cancer admitted to our hospital from January 1999 to December 2008. Results B ultrasound, CT is the main method of diagnosis of gallbladder cancer; 61.3% of gallbladder cancer with gallstone. Conclusions Stage Ⅰ gallbladder carcinoma is treated by simple cholecystectomy. Stage Ⅱ and Ⅲ gallbladder carcinoma is the first choice for radical surgery. Stage Ⅳ and stage Ⅴ are combined. Early diagnosis is an effective way to improve the survival time of patients with gallbladder cancer. Patients with high-risk gallbladder stones should be actively cholecystectomy.