输尿管肿瘤诊治研究(附27例报告)  

Diagnosis and Treatment of Ureteral Tumor(Report of 27 Cases)

作　　者：尚吉文[1] 闫勇[2] 常巍[1] 王剑华[1] 

机构地区：[1]太原市中心医院泌尿外科,太原030009 [2]北京朝阳医院泌尿外科

出　　处：《临床泌尿外科杂志》2009年第2期125-126,共2页Journal of Clinical Urology

摘　　要：目的:提高输尿管肿瘤的诊治水平。方法:回顾性分析27例输尿管下段肿瘤的临床资料,总结诊治经验。结果:通过术中冷冻及术后病理证实,24例为输尿管移行细胞癌,2例息肉,1例为平滑肌瘤。术前经B超、IVP、MRU、输尿管镜检查等确诊16例,行手术治疗。结论:联合应用B超、IVP、MRU、输尿管镜检查可提高输尿管肿瘤的诊断符合率。良性肿瘤采用输尿管镜下钬激光治疗,采用后腹腔镜辅助小切口肾输尿管及膀胱袖套状切除术治疗输尿管移行细胞癌,该术式安全、有效,可确保完整切除全长输尿管。Objective：To improve the diagnosis and treatment of ureteral tumor. Methods：Data of 27cases of u reteral tumor were reviewed to summarize the diagnostic and therapeutic experience. Results：24 cases were to be proved ureteral transitional cell carcinoma by intraoperative frozen and pathological examination after operation, 2 cases were ureteral polyp, 1 case was ureteral leiomyoma. 16 patients had been diagnosed before surgery by B ultrasound, IVP, MRU and ureteroscopy. Conclusions：Combination of B ultrasound, IVP, MRU and ureteroscopy is helpful to diagnose the ureteral tumor. Benign tumor was treated transureteroscopic Holmium laser. Ureteral transitional cell carcinoma was treated by nephroureterectomy and bladder cuff excision with short incision assisted by retroperitoneal laparoscopy. It is safe, and effective which can ensure complete removal of the total ureter.

关 键 词：输尿管肿瘤 诊断 治疗 

分 类 号：R737.13[医药卫生—肿瘤]