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目的对胆囊炎致CA19-9升高的临床表现进行研究探讨。方法随机抽取2012年2月~2013年12月本院接诊的39例CA19-9升高的胆囊炎者作为研究对象,对其临床资料进行回顾性分析,观察患者临床表现。结果患者癌变情况与CA19-9水平呈正相关,随着患者者CA19-9水平的升高,胆囊癌的发生率总体呈上升趋势;术后患者CA19-9水平与手术前比较差异具有统计学意义(P<0.05)。结论将胆囊炎患者CA19-9水平与其病史以及影像学的资料相结合,可为临床胆囊疾病的良恶性诊断提供重要依据。
Objective To investigate the clinical manifestations of elevated CA19-9 in cholecystitis. Methods Thirty-nine patients with cholecystitis elevated in CA19-9 admitted from February 2012 to December 2013 were enrolled in this study. The clinical data were retrospectively analyzed and the clinical manifestations were observed. Results The canceration status of patients was positively correlated with the level of CA19-9. The incidence of gallbladder cancer was generally increased with the increase of CA19-9 level in patients. The difference of CA19-9 level between preoperative and postoperative patients was statistically significant (P <0.05). Conclusion The combination of CA19-9 level in cholecystitis with its history and imaging data can provide an important basis for the diagnosis of benign and malignant clinical gallbladder diseases.