原发性输尿管癌的诊断和治疗  

Diagnosis and treatment of primary ureteral cancer

作　　者：郭寰宇[1] 宋飞[1] 赵谦[1] 黄伟[1] 侯飓[1] 曹栋威[1] 

机构地区：[1]济南铁路中心医院泌尿外科,山东济南250001

出　　处：《现代泌尿外科杂志》2005年第3期150-151,共2页Journal of Modern Urology

摘　　要：目的 提高对原发性输尿管癌的诊断和治疗水平.方法 回顾性分析19例确诊为原发性输尿管癌患者的诊断方法和治疗手段.结果 19例均为移行细胞癌,术前确诊14例,确诊率为73.7%.全部患者行手术治疗,术后随访1月～7年,3年内死亡4例,存活5年以上3例,3～5年4例,余8例随访1月～3年存活.结论 静脉肾盂造影、逆行肾输尿管造影、膀胱镜检查是诊断原发性输尿管癌的基本检查手段,输尿管镜检查配合取活检是原发性输尿管癌术前重要的确诊方法.对于高期、高级别肿瘤,肾、输尿管全长、膀胱袖口状切除仍为最有效和首选的手术方法,对于低期、低级别肿瘤可考虑保留肾脏的手术,包括输尿管肿瘤段部分切除、输尿管端端吻合术,输尿管下端、膀胱部分切除+输尿管膀胱移植术,输尿管镜电切术.Objective To improve the diagnosis and treatment of primary ureteral cancer. Methods Data of 19 cases with primary ureteral cancer which had been ascertained were reviewed. Results All cases were diagosed as transitional cell carcinoma and 14 cases of them had been ascertained before surgery. All of them were followed up for 1 month to 7 years. 4 died within 3 years; 3 remained alive after 5 years; 4 remained alive with 3 to 5 years; the rest 8 cases remained alive for 1 month to 3 years. Conclusion IVP, cystoscopy and retrograde ureteropyelography are essential for the diagnosis of primary ureteral carcinoma. Ureteroscopy is very important for the diagnosis of primary ureteral carcinoma before surgery. Total nephroureterectomy with removal of a cuff of periureteral bladder is the main treatment in most cases.

关 键 词：输尿管肿瘤 治疗学 原发性输尿管癌 肾盂癌 

分 类 号：R737.13[医药卫生—肿瘤]