摘要
目的通过对原发性胆囊癌的超声声像图分型和各型所采取的手术方式进行对比分析,探讨声像图分型对胆囊癌手术方式选择的指导作用。方法 40例经病理证实为原发性胆囊癌患者的声像图分为三型(一、二、三),其中一型分为3个亚型(Ⅰ、Ⅱ、Ⅲ)。将分型与所对应的手术方式进行对比分析。结果本组中一型胆囊癌患者29例,其亚型Ⅰ5例,亚型Ⅱ17例,亚型Ⅲ7例;二型5例;三型6例。实行单纯胆囊切除术3例,均为亚型Ⅱ患者;胆囊癌根治术22例,其中亚型Ⅰ患者5例,亚型Ⅱ14例,亚型Ⅲ2例,二型1例;实行姑息手术15例,其中亚型Ⅲ型患者5例,二型4例,三型6例。结论胆囊癌超声声像图分型对原发性胆囊癌手术方式的选择具有重要指导意义。
Objective To investigate the significance of ultrasonic imaging typing of essential gallbladder carcinoma on selection of surgical methods. Methods Forty cases of essential gallbladder carcinoma were confirmed by pathology, then their ultrasonic sonograms were divided into three types（ type one,type two and type three）, type one was divided into three subtypes （ Ⅰ, Ⅱ, Ⅲ）. Then the surgical method of each type was analyzed. Results There were 29 cases of type one, including 5 cases of subtype Ⅰ , 17 cases of subtype Ⅱ ,7 cases of subtype Ⅲ, while there were 5 cases of type two and 6 cases of type three. Three cases underwent cholecystotomy, all of them were in subtype II , 22 cases underwent radical correction, including 5 cases of subtype Ⅰ, 14 cases of subtype Ⅱ , 2 cases of subtype Ⅲ, while there was 1 case of type two. 15 cases underwent palliative operation, including 5 cases of subtype m, 4 cases of type two, and 6 cases of type three. Conclusion Ultrasonic imaging typing of essential gallbladder carcinoma has important value in selecting surgical methods.
出处
《临床超声医学杂志》
2010年第10期684-687,共4页
Journal of Clinical Ultrasound in Medicine
关键词
胆囊肿瘤
超声检查
分型
手术方式
Gallbladder carcinoma
Ultrasonography
Typing
Surgical method
