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目的 探讨原发性胆囊癌的误诊原因。方法 收集本市第一、二人民医院自 1989年 10月至 1999年 10月共 16 80例胆囊切除的病例资料 ,对其中误诊的 31例原发性胆囊癌病例进行回顾性分析。结果 发现年龄较大、病史较长、疼痛性质改变的胆囊炎、胆石症患者和单发、直径大于 10mm或广基型胆囊息肉患者为原发性胆囊癌的高危人群 ,应高度警惕。结论 原发性胆囊癌误诊率高 ,提高临床医师和影像学医师对此病的认识 ,加强对高危人群的随访、复查和积极手术治疗是降低原发性胆囊癌误诊率的关键
Objective To investigate the causes of misdiagnosis of primary gallbladder cancer. Methods A total of 16 80 cases of cholecystectomy were collected from the First and Second People’s Hospitals of the city from October 1989 to October 1999. A retrospective analysis was performed on 31 cases of primary gallbladder carcinoma misdiagnosed. RESULTS: It was found that older patients with long medical history, cholecystitis with altered pain properties, patients with cholelithiasis, and individuals with high-risk primary gallbladder polyps greater than 10 mm in diameter or with broad-based gallbladder polyps should be highly vigilant. Conclusions The rate of misdiagnosis of primary gallbladder carcinoma is high, raising the awareness of clinicians and imaging physicians on the disease, and strengthening the follow-up, review and active surgical treatment of high-risk groups is the key to reduce the misdiagnosis rate of primary gallbladder carcinoma.