胆囊癌治疗方式与预后关系探讨

目的 探讨原发性胆囊癌的不同治疗方式对其预后的影响。方法 对1988－1998年10年间126例原发性胆囊癌的治疗结果进行临床回顾性研究。结果 126例胆囊癌占同期胆道外科疾病的2.7%（126／4627），占同期普外疾病的0.76%(126/16478)。根治性切除率38.9%，平均生存8.8个月；姑息笥手术率30.9%，平均生存3.9个月；其他治疗方式占３０.２％，平均生存３.3个月。结论 早期诊断、根治性争除是使胆囊癌病人术后长期生存的关键，病理类型对胆囊癌的预后有重要影响。

Relationship between treatments and prognosis of primary carcinoma of gallbladder

Objective To investigate the influence of different treatments on prognosis in primary carcinoma of gallbladder. Methods The data of 126 patients with primary carcinoma of gallbladder treated in our Department from 1988 to 1998 were retrospectively analyzed. Results These 126 patients with primary carcinoma of gallbladder amounted to 2.7% of 4627 cases of surgically treated diseases at the same period of time. The rate of radical resection was 38.9% and that of palliative resection 30.9%. The average survival time in patients underwent radical resection was 8.8 months while that in patients underwent palliative resection 3.3 months. There was a significant difference in average survival time between these 2 groups of patients. Conclusions Early diagnosis and radical resection are important for patients with primary carcinoma of gallbladder to have a long survival time after operation. The pathological type of the carcinoma of gallbladder can greatly affect its prognosis.