CAJ | 학술논문

目的提高原发性胆囊癌的早期诊断率。方法回顾性总结我院1988年至1998年52例胆囊癌的病例。结果术前诊断率：90.3%，其中属胆囊癌早期诊断率23%(12例)，总手术切除率55.8%，晚期胆囊癌手术切除率17.8%。结论早期诊断是提高治疗效果的关键，以下特征应引起我们对胆囊癌高度注意：(1)50岁以上有反复发作的胆囊炎，胆囊结石病史；(2)先天胆道畸形者；(3)胆囊壁局限性增厚，囊壁不规则；(4)胆囊腔内大于1cm息肉样病变，不规则；(5)胆囊萎缩；(6)胆囊内的占位不随体位的改变而移动；(7)区域淋巴结肿大。
목적 제고원발성담낭암적조기진단솔。방법 회고성총결아원1988년지1998년52례담낭암적병례。결과 술전진단솔：90.3%，기중속담낭암조기진단솔23%(12례)，총수술절제솔55.8%，만기담낭암수술절제솔17.8%。결론 조기진단시제고치료효과적관건，이하특정응인기아문대담낭암고도주의：(1)50세이상유반복발작적담낭염，담낭결석병사；(2)선천담도기형자；(3)담낭벽국한성증후，낭벽불규칙；(4)담낭강내대우1cm식육양병변，불규칙；(5)담낭위축；(6)담낭내적점위불수체위적개변이이동；(7)구역림파결종대。
Objective To promote the rate of early confirmed diagnosis ofprimary carcinoma of gallbladder. Methods The data of 52 patients with primary carcinoma of gallbladder treated in our Hospital from 1988 to 1998 were retrospectively analyzed. Results The preoperative diagnostic rate was 90.3%, in which only 12 cases were of early diagnosis of the carcinoma (23%). The total operative resection rate was 55.8%, in which 17.8% were of late-stage carcinoma. Conclusions Early diagnosis is the crucial factor for increasing successful treatment rate. We should pay special attention to the following features of carcinoma of gallbladder: 1) The patients aged over 50 have recurrent cholecystitis and past history of gall stone. 2) Congenital malformation of the bile duct. 3) Local thickening and irregularity of the gallbladder wall. 4) Polypoid lesion larger than 1 cm inside the gallbladder. 5) Atrophic gallbladder. 6) Intraluminal space of the gallbladder does not move along with the changes of the posture. 7) Enlargement of the regional lymph nodes.