原发性输尿管肿瘤的诊断与治疗(附16例报道)  

Diagnosis and treatment of primary ureteral tumor:a report of 16 cases

作　　者：向阳[1] 孙永昌[1] 沈小东[1] 尹国红[1] 肖迪[1] 刘洋[1] 王涛[1] 

机构地区：[1]武汉市汉口医院泌尿外科,430012

出　　处：《现代泌尿生殖肿瘤杂志》2010年第2期84-85,共2页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨原发性输尿管肿瘤的早期诊断方法与治疗。方法回顾分析我院2003年8月至2009年3月收治的16例输尿管肿瘤患者的诊断方法及治疗。结果通过超声检查、排泄性静脉尿路造影、逆行肾盂造影、CT、输尿管镜及脱落细胞学检查等,术前诊断符合率为93.8%(15/16)。除1例行快速病理检查证实为息肉外,其余均为输尿管肿瘤。全部肿瘤患者除1例外,均行患侧肾、输尿管全切和膀胱袖状切除。结论多种检查方法相结合是原发性输尿管肿瘤早期诊断与治疗的关键。Objective To study early diagnosis and treatment of primary ureteral tumor. Methods Clinical data of 16 patients with primary ureteral tumor from August 2003 to March 2009 were retrospectively analyzed. Results The percentage of confirmed diagnosis of ureteral tumor by preoperatively integrated diagnosis methods including B ultrasound,intravenous urography（IVU）,retrograde pyelography,computed tomography（CT）,ureteropyeloscopy and exfoliative cytology examination was 93.8%（15 /16）.Except one case that was diagnosised with ureteral polypus by rapid frozen section,all of others were diagnosised with primary ureteral tumor and underwent nephroureterectomy with excision of the bladder cuff. Conclusions It was suggested that the combination of a variety of tests could be a crucial factor for the early diagnosis and proper treatment of primary ureteral tumors.

关 键 词：输尿管肿瘤 诊断 治疗 

分 类 号：R737.13[医药卫生—肿瘤]