摘要
目的：探讨原发性胆囊癌的误诊原因及高危因素，加强对本病的早期诊断和防治。方法：对我院1991年4月-2004年12月经手术病理证实的23例胆囊癌资料进行回顾性分析。结果：由于胆囊癌病因不明，缺乏特异性表现，尤其和胆石症并存及合并溃疡病、胃炎等极易漏、误诊。另外影像检查者经验不足，术中忽视大体标本观察，患者的高龄，反应迟钝等都是影响诊断的因素。结论：为提高胆囊癌早期诊断，减少误诊，应加强高危人群的随访，定期B超检查，一旦发现，尽早手术。
Objective： To study the causes of miadiagnosis and high - risk factors of gallbladder carcinoma. Methods： Twenty -three gallbladder carcinoma patients with pathologic diagnosis were analyzed retrospectively. Results： Lacking of definite etiological factor and specific symptoms, especially complicated with cholelithiasis, digestive ulcer and gastritis were the main reasons of misdiagnosis and missed diagnosis. Moreover, insufficient imaging experiences, ignored observe to the dissected specimen, aged and dulled patients were also the causes of misdiagnosis. Conclusions： Frequency investigations to high -risk patients , regularly ultrasound examination and earlier operation on pristine stage patients could increase the diagnostic rate and decrease the misdiagnosis rate.
出处
《现代肿瘤医学》
CAS
2006年第7期857-859,共3页
Journal of Modern Oncology
关键词
胆囊肿瘤
胆结石
高危因素
carcinoma of gallbladder
cholelithiasis
high - risk factors
