102例膽囊癌臨床與預后分析.pdf

1、浙江大學碩士學位論文102例膽囊癌臨床與預后分析姓名：周一鳴申請學位級別：碩士專業(yè)：臨床醫(yī)學（普外科）指導教師：曹利平20070319⑧塑堊奎蘭堡主蘭垡堡奎!墜型里壅壟堅盎量墮量坌堡!墮奎墮墨翌!AbstractB—AC—KGROUND&AIM：Primarygallbladdercarcinoma(PGC)showsallascensustendencyinrecentyearsIt’Sincidenceranks5thindiges

2、tivesystemDuetothelackofearlysymptomsandthefastadvancemenKmostpatientsmissedthechanceofearlydiagnosisandoperationAsthekeypointofimproveprognosisisearlydiagnosisandoperationWereport102casesofprimarygallbladdercarcinoma，an

3、dthisarticleexploredheepidemiology，theclinicalcharacteristics，theprogressofgeneresearch，theoperationandtheprognosis，inordertoprovidequodvicefortheclinicalworkMATERIAL＆METHODS：Theclinicaldataof102casesofprimarygallbladder

4、carcinomafromJan2000toDec2006，werereviewedandanalyzedretrospectively，whichwerefromthe2ndaffiliatedhospitalofZhejiangUniversityAncaseswerecomfirmedbyclinicalorpathologicalexaminationAllpatientswerefollowedupAndtheliteratu

5、reswerereviewedRESULT&CONCLUSIONS：Primarygallbladdercarcinomaisahi曲grademalignantdigestivetumoranditsetiopathogenisisiSunclearnowItiSusuallydetectedatanadvancedstageduetonospecificsymptomsandrapidadvancementTheclinicalma

6、nifestationiSmainlywitllabdominalpain，nauseaandvomitingjaundice，hepaticfunctionallesionImageologicaldetectionisvaluableforearlydiagnosisCAl99isthemostspecificandsensitivetumormarkerforPGCRadicalresectionIsgenerallyaccept

7、edastheordywayofcuringmodusoperandiofadvancedstagepatientisdisputedButtheprognosisisdepressedwi廿lalowsurvivalrateAsaidtherapychemotherapyandradiotherapydon’tperformedwell[KeyWords]：Gallbladdercarcinoma，Clinicalanalysispr