原发性输尿管癌20例诊断和治疗  

Diagnosis and Treatment of 20 Cases of Primary Ureteral Carcinoma

作　　者：侯佩金[1] 孟峻嵩[1] 宋旭[1] 庄海军[1] 汤鹏[1] 漆贯华[1] 李业宽[1] 

机构地区：[1]南京医科大学附属淮安一院泌尿外科,江苏淮安223300

出　　处：《实用临床医学（江西）》2002年第6期13-15,共3页Practical Clinical Medicine

摘　　要：目的 :为提高原发性输尿管癌的诊治水平。方法 :回顾性分析 2 0例原发性输尿管癌的临床资料 ,总结诊治经验。结果 :2 0例均为移行细胞癌 ,术前确诊 18例 ,占 90 %。 16例获随访 3个月～ 8年 ,死亡 5例 ,2例再发膀胱癌 ,1例再发残端输尿管癌。结论 :膀胱镜检查及逆行输尿管肾盂造影是原发性输尿管癌诊断的重要的检查方法 ,术前联合采用多种检查可提高其诊断率 ;Objective: To improve the diagnosis and treatment of primary Ureteral cancer. Methods: The clinical data of 20 cases of primary Ureteral carcinoma was retrospectively analyzed and the methods of diagnosis and treatment of this disease were evaluated. Results: Twenty cases were all transitional cell carcinoma. 18 of them were made definite diagnosis before operation (90%). The follow up period of 16 patients was three months to eight years. It revealed that 5 patients were died and 2 patients got recrudesced bladder cancer and one patient recrudesced carcinoma of the Ureteral stump. Conclusion: It is considered that cystocopy and retrograde ureteropyelography are the important diagnostic approaches of primary Ureteral carcinoma. Its diagnostic accuracy might be improved by combined use of many diagnostic means before surgery. Total nephroureterctomy with bladder cuff resection is the treatment of choice.

关 键 词：输尿管肿瘤 移行细胞癌 诊断 治疗 

分 类 号：R737.13[医药卫生—肿瘤]