原发性胆囊癌的漏诊和误诊分析

目的:提高原发性胆囊癌早期诊断率。方法:回顾性分析我院经术后病理明确诊断为原发性胆囊癌的43例患者的临床资料,对漏诊和误诊情况进行分析。结果:术前误诊率为37.2%,正确诊断率为62.8%。4例误诊为胆囊炎、2例误诊为胆囊结石,4例误诊为胆囊腺瘤,6例误诊为胆囊息肉。年龄越大误诊率越高。结论:原发性胆囊癌具有较高的术前误诊率,应加强对胆囊癌与其他胆道疾病的鉴别诊断,充分认识B超的影像学特点,以提高术前胆囊癌的诊断率。

Analysis of missed diagnosis and diagnostic errors on primary gallbladder carcinoma patients

Objective:To improve the early diagnosis rate of primary gallbladder carcinoma. Methods: Clinical data of 43 gallbladder patients was retrospectively analysed in which the missed diagnosis and misdiagnose reasons were analyzed. Results: Misdiagnosis rate was 37.2%,corrected diagnosis rate was 62.8%.Of those misdiagnosed patients,4 cases were diagnosed cholecystitis, 2 cases were diagnosed gallbladder stone,4 cases were diagnosed adenoma gall bladder,6 were diagnosed gallbladder polyps in which the higher misdiagnosis rate were the older patients. Conclusion: Primary gallbladder carcinoma has high misdiagnosis rate in which doctors should fully understand the differential diagnosis of primary gallbladder carcinoma and other biliary tract disease and B ultrasonic imaging characteristics in order to improve preoperative diagnosis rate of primary gallbladder carcinoma.