CAJ | 학술논문

目的总结原发性胆囊癌的临床特征和外科治疗经验,探讨不同的治疗方式对其预后的影响,并对影响其预后的因素进行分析.方法回顾我院2006年6月至2010年6月收治的23例胆囊癌患者的临床资料,分析肿瘤分期、外科手术方式等相关因素与预后之间的关系.结果 21例患者获随访,术后6个月、1年、3年生存率分别为80.95％、52.38％和28.57％.根治组术后6个月、1年、3年生存率分别为100.00％、71.48％、42.85％,与非根治组比较明显提高(P＜ 0.05).结论中晚期胆囊癌患者应行标准的胆囊癌根治术,这能明显提高术后生存率.
목적 총결원발성담낭암적림상특정화외과치료경험,탐토불동적치료방식대기예후적영향,병대영향기예후적인소진행분석.방법 회고아원2006년6월지2010년6월수치적23례담낭암환자적림상자료,분석종류분기、외과수술방식등상관인소여예후지간적관계.결과 21례환자획수방,술후6개월、1년、3년생존솔분별위80.95％、52.38％화28.57％.근치조술후6개월、1년、3년생존솔분별위100.00％、71.48％、42.85％,여비근치조비교명현제고(P＜ 0.05).결론 중만기담낭암환자응행표준적담낭암근치술,저능명현제고술후생존솔.
Objective To summarize the clinical features and surgical treatment experience of primary galildadder carcinoma,and to explore the effects of different procedures on the prognosis and analyze the prognostic factors.Methods The clinical data on 23 patients with gallbladder carcinoma who had been treated in our hospital from June 2006 to June 2010 were reviewed.The association of prognosis with tumor stages and surgical procedures was analyzed.Results 21 patients were followed up.The 6-month survival rate,1 -year survival rate,and 3-year survival rate were 80.95 ％,52.38％,and 28.57％.The three different survival rates were markedly increased in the radical treatment group ( 100.00％,71.48％,and 42.85％ ),as compared with the non-radical group ( P＜ 0.05 ).Conclusions Standard radical surgery for advanced gallbladder carcinoma can significantly improve survival rate.