【摘要】 目的 探讨胆囊癌的临床特点和诊治方法的选择。方法 对1995~2006年间收治的36例胆囊癌患者的临床资料进行回顾性分忻。结果 24例(66.7%)有胆囊癌合并胆囊结石；中晚期病例有31例(86.1%)，合并肝功能异常者17例 (47.2%)。手术切除率为66.7%，其中行根治性切除10例，根治率为29.4%。根治性手术的1、3年生存率分别为40%、10%；姑息性手术的1、3年生存率分别为16.7%、0。结论 胆囊癌的发病率上升且与胆囊结石关系密切，早期诊断与治疗是提高生存率的关键。

    【关键词】 胆囊癌；诊断；外科手术

    Diagnosis and treatment of gallbladder carcinoma(report of 36 cases) HUANG Lin-gang Department of surgery ,Xizhou Hospital, Xixian Henan Province 464300,China

    【Abstract】 Objective To investigate the clinical features and treatment for gallbladder carcinoma.Methods 36 cases with gallbladder carcinoma were followed up from1995 to2006 and analyzed according to clinical data.Results 24 cases(66.7%) ended up with cholecy stolithiasis;17 cases (47.2%)out of 31(86.1%) late gallbladder carcinoma cases had liver dysfunction;66.7%patients were performed surgery,including 10 radical gall-ectomy,the cure rate is 29.4%.The one-year-survival rate after the radical gallectomy treatment is 40% vs 3-year-survival rate is 10%.While palliative operation , the survival rates are 16.7% and 0.Conclusion The rising rate of gall bladder carcinoma has close relationship with cholecy stolithiasis;early diagnosis and treatment is critical for the rescue of gallbladder carcinoma. ......