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目的 :分析胆囊癌的临床诊治。方法 :3 8例胆囊癌经B超、CT检查后手术 ,根据不同分期采取胆囊切除术、胆囊癌根治术、剖腹探查加内外引流术。结果 :B超检查符合率为 44 .7%手术后住院期间死亡 10例属NevinⅣ -Ⅴ期。术后 1年内死亡 2 2例 ,术后生存 1年以上仅 6例。结论 :B超检查仍是早期诊断胆囊癌比较有效的方法。
Objective: To analyze the clinical diagnosis and treatment of gallbladder cancer. Methods: Thirty-eight cases of gallbladder carcinoma underwent B-mode ultrasound and CT-scan operation. Cholecystectomy, gallbladder carcinoma radical mastectomy and laparotomy plus internal and external drainage were performed according to different stages. Results: The coincidence rate of B ultrasound examination was 44.7%, and 10 deaths during hospitalization after operation were Nevin Ⅳ-Ⅴ. There were 22 deaths within one year after operation and only 6 cases survived more than one year after operation. Conclusion: B-ultrasound is still an effective method for early diagnosis of gallbladder cancer.