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原发性胆囊癌的早期诊断与治疗 |
| [高血压医学论文] ［摘要］ 目的 探讨原发性胆囊癌的早期诊断和治疗方法。方法 回顾分析39例原发性胆囊癌患者的诊治资料。结果 术前确诊率仅为51.3%（20/39）。单纯胆囊切除4例，胆囊加肝楔形切除6例，胆囊加肝楔形切除加区域淋巴结清扫9例，胆肠内引流2例，胃空肠吻合1例，仅行剖腹探查8例，非手术治疗9例。结论 B超和CT是早期诊断胆囊癌的主要手段，手术切除是最佳选择，术后综合治疗有重要意义。 ［关键词］ 胆囊肿瘤；诊断；治疗 Diagnosis and treatment of primary gallbladder carcinoma ［Abstract］ Objective To explore the diagnostic methods and the effect of treatment of primary gallbladder carcinoma.Methods The clinical data of 39 cases of primary gallbladder carcinoma were analyzed retrospectively.Results Preoperative diagnostic rate were 51.3%，simple cholecystectomy in 4 cases，gallbladder+liver wedge resection in 6，gallbladder+liver wedge resection+regional lymphadenectomy in 9，biliary-jejunal internal drainage in 2，gastro-jejunostomy in 1.Laparotomy exploration only in 8 cases，no operative in 9.Conclusion BUS and CT are main method in early diagnosis of primary gallbladder carcinoma，operative resection is the best choice and postoperative comprehensive therapy is also important. ［Key words］ gallbladder neoplasm;diagnosis;treatment 原发性胆囊癌（以下称胆囊癌）在胆道系统恶性肿瘤的发病率中占首位。近年来其发病率有逐渐增……
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| 投稿人：gf6h6 |
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最后编辑：647754 |
高血压医学论文 | 高血压医学论文 |
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