临床资料 我院自1962年2月至1990年4月收治经手术或尸解证实的原发性胆囊癌62例,其中男27例,女35例,平均年龄56.0±12.4岁,50岁以上者占62.9％(39例)。临床表现为胆囊炎23例(37.1％),11例病史超过1年以上,最长1例达17年。伴胆石症27例(43.5％),其中17例胆囊结石者13例(76.5％)在50岁以上。这17例有6例无临床症状。本组还有6例(9.7％曾因急性胆囊炎或胆囊穿孔接受过胆囊造瘘术,分别在术后半年内(3例)、10个月(1例),8年(1例) Clinical data 62 cases of primary gallbladder carcinoma confirmed by surgery or autopsy were treated in our hospital from February 1962 to April 1990. Among them, 27 were male and 35 were female. The average age was 56.0±12.4 years old. Accounting for 62.9% (39 cases). Clinical manifestations were cholecystitis in 23 cases (37.1%), 11 cases had a history of more than 1 year, and the longest 1 case reached 17 years. With cholelithiasis in 27 cases (43.5%), of which 17 cases of gallstones in 13 cases (76.5%) in the age of 50 years. Six of these 17 patients had no clinical symptoms. There were 6 cases in this group (9.7% had had gallbladder fistula for acute cholecystitis or gallbladder perforation, respectively within half a year (3 cases), 10 months (1 case), 8 years (1 case)