老年原发性胆囊癌临床分析

吴平; 王偕莲; 曾繁荣

doi:10.13406/j.cnki.cyxb.2001.03.036

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老年原发性胆囊癌临床分析

更新时间：2024-01-17

- 老年原发性胆囊癌临床分析
- Clinical analysis of primary gallbladder carcinoma in elderly patients
- 重庆医科大学学报 2001年第3期页码：329-331
- 作者机构：
  
  1. 重庆医科大学临床学院老年科
  2. 重庆医科大学临床学院老年科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2001.03.036
  中图分类号： R735.8
- 纸质出版日期：2001，
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[1]吴平,王偕莲,曾繁荣.老年原发性胆囊癌临床分析[J].重庆医科大学学报,2001(03):329-331.

WU Ping, et al. Clinical analysis of primary gallbladder carcinoma in elderly patients[J]. Journal of Chongqing Medical University, 2001,(3):329-331.
[1]吴平,王偕莲,曾繁荣.老年原发性胆囊癌临床分析[J].重庆医科大学学报,2001(03):329-331. DOI： 10.13406/j.cnki.cyxb.2001.03.036.

WU Ping, et al. Clinical analysis of primary gallbladder carcinoma in elderly patients[J]. Journal of Chongqing Medical University, 2001,(3):329-331. DOI： 10.13406/j.cnki.cyxb.2001.03.036.

摘要

目的：探讨老年原发性胆囊癌（以下称胆囊癌）的临床特点。方法：对我院近２０年收治的３３例老年胆囊癌的病因、临床症状、诊断及治疗进行分析。结果：合并胆囊结石者占５７．６％。临床症状主要为腹痛、腹部肿块、黄疸。晚期病例占７２．７％，肝脏转移最多见。Ｂ超诊断阳性率为６５．５％。病理类型以腺癌为主。手术是基本治疗措施。结论：老年人胆囊癌早期诊断极为困难，对有胆石症、胆囊息肉的中老年患者应尽可能早期手术治疗，以防胆囊癌的发生。

Abstract

Objective：In order to make clear the clin ical characteristics of primary gallbladder carcinoma in elderly patients.Methods:In recent 20 years 33 elderly patients with gallbladder carcinoma were treated in our hospital and the pathogeny

clinical features

diagnosis and treatment were discussed.Results:Gallbladder carcinoma with gall stones was about 57.6%.Abdominal pain

mass and jaundice were main symptoms.Advan ced stage cases were about 72.2% and liver was the main site of metastasis.The p ositive diagnosis rate of B ultrasonic wave was 65.5%.Adenocarcinoma was major p athomorphology type.Operation was the basic measure in treating gallbladder carc inoma.Conclusions:It was very difficult to make a definite diagnos is of early stage gallbladder carcinoma in elderly patients.To prevent gallbladder carcinoma

an early operation on the middle-aged and elderly patients with cholecystolithiasis and polyp of the gallbladder is advisable.

关键词

胆囊癌胆囊结石老年

Keywords

gallbladder carcinomaGall stonethe aged

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