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目的 探讨胆囊癌误诊发生的原因及预防的方法。方法 对 1989年～ 1999年间 91例胆囊癌发生误诊的临床资料进行回顾性分析。结果 术前误诊 4 8例 ,占 5 2 7%。并发胆囊其它疾病为主要原因。其中胆囊结石最常见占 5 4 2 %,其次有慢性胆囊炎急性发作、瓷样胆囊、胆囊息肉样改变。结论 临床上对于⑴老年女性有胆囊炎病史多年 ,胆囊萎缩。⑵近期出现局部症状加剧或伴消化障碍。⑶B超或CT影像学检查 ,胆囊壁不规则隆起或胆囊内单发结节短期内体积增大明显 ,均应早期进行预防性胆囊切除 ,常规剖开胆囊标本 ,亦可提高胆囊癌的诊断率。
Objective To investigate the causes of misdiagnosis of gallbladder carcinoma and its prevention methods. Methods The clinical data of 91 cases of gallbladder carcinoma misdiagnosed between 1989 and 1999 were analyzed retrospectively. Results 48 cases were misdiagnosed before surgery, accounting for 52.7%. Other gallbladder diseases as the main reason. The most common gallstones accounted for 542%, followed by acute episodes of chronic cholecystitis, porcelain-like gallbladder, polypoid gallbladder-like changes. Conclusion Clinically, for ⑴ elderly women have a history of cholecystitis for many years, gallbladder atrophy. ⑵ recent local symptoms or with digestive disorders. ⑶B ultrasound or CT imaging examination, irregular bulging gallbladder wall or gallbladder solitary nodules in the short term volume increased significantly, should be carried out in early preventive cholecystectomy, routine dissection of gallbladder specimens, can also improve the diagnosis of gallbladder cancer .