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目的 探讨原发性胆囊癌的发病与诊断。方法 对 2 7例原发性胆囊癌临床资料进行回顾分析。结果 2 7例中男 10例 ,女 17例 ,男女之比为 1∶1.7,5 0岁以上 2 0例 (74 .1% ) ,合并胆囊结石 17例 (6 3.0 % ) ,有胆囊息肉病史 8例 (2 9.6 % )。术前B超、CT和MRI诊断符合率分别为 70 .4 % (19/ 2 7)、81.8% (9/11)和 10 0 % (4 / 4 )。结论 原发性胆囊癌好发于 5 0岁以上女性 ,发病与胆囊结石、炎症、息肉有关。B超、CT、MRI是重要的检查方法。
Objective To investigate the pathogenesis and diagnosis of primary gallbladder cancer. Methods The clinical data of 27 cases of primary gallbladder cancer were retrospectively analyzed. Results There were 10 males and 17 females in 27 cases, with a ratio of 1: 1.7 for males and females, 20 (74.1%) for males and females, 17 (6.30%) with gallbladder stones and a history of gallbladder polyposis 8 cases (2 9.6%). The coincidence rates of preoperative ultrasonography, CT and MRI were 70.4% (19/27), 81.8% (9/11) and 100% (4/4) respectively. Conclusions Primary gallbladder cancer occurs in women over 50 years old. The incidence is related to gallstones, inflammation and polyps. B ultrasound, CT, MRI is an important method of inspection.