逆行性肾盂造影联合输尿管软镜在诊断小肾盏癌中的价值  

Retrograde Pyelography Combined Flexible Ureteroscopy in the Diagnosis of Small Renal Calyx Carcinoma of the Value

作　　者：阙新祥[1] 叶长江[2] 丁森泰[1] 毕东滨[1] 丁克家[1] 

机构地区：[1]山东大学附属省立医院泌尿外科,山东济南250012 [2]湖北省仙桃市第一人民医院泌尿外科,湖北仙桃433000

出　　处：《医学与哲学（B）》2014年第1期40-42,共3页Medicine & Philosophy(B)

基　　金：山东省自然科学基金资助项目;项目编号:Y2008C80;山东省自然科学基金资助项目;项目编号:ZR2011HQ027

摘　　要：探讨逆行性肾盂造影联合输尿管软镜在诊断小肾盏癌中的价值。回顾分析5例小肾盏癌临床资料,术后病理检查结果均提示尿路上皮癌I级(Ta-G1),术后定期行膀胱内灌注化疗药物,且均未出现肿瘤其他部位转移等并发症发生。对5例患者均进行随访,1年期间每3个月行尿常规及B超检查均正常,1年生存率达100%。患者出现血尿症状,虽然常规检查(尿常规、B超、IVU、CT或MRI等)诊断不明确者,都可行逆行性肾盂造影检查。一旦逆行性肾盂造影检查提示异常图像,均可提示肾盏癌,使误诊率及漏诊率降至最低程度,尽可能阻断早期肿瘤的发展。故逆行性肾盂造影联合输尿管软镜可提高早期小肾盏癌的术前诊断率。To discuss retrograde pyelography combined carcinoma of the value and improve the diagnostic level, with flexible ureteroscopy in the diagnosis of small renal calyx five small renal calyx carcinoma clinical data were retrospe. All of 5 cases with postoperative pathologic examination results suggest upper urinary tract tumor grade I （Ta-G1）, regular postoperative bladder perfusion chemotherapy drugs; and no cancer that has spread to the other parts and other complications occurred. To follow-up in all g cases, every three months during the 1 year routine urine and B ultrasonic examination are normal; 1 year survival rate was 100%. Patients with symptoms of blood in the urine, although routine inspection （routine urine, B ultrasonic, intravenous urogram, CT or MRI） diagnosis is not clear, the retrograde pyelography revealed are feasible. Once the retrograde pyelography revealed abnormal images, can consider adopting flexible ureteroscopy check to ureter is epithelial tubules misdiagnosis rate and the missed diagnosis of urinary tract cancer dropped to the lowest degree, the development of the block as early as possible. So the retrograde pyelography combined with flexible ureteroseopy can improve the early renal preoperative diagnosis of small renal calyx carcinoma.

关 键 词：逆行性肾盂造影 输尿管软镜 小肾盏癌 

分 类 号：R737.11[医药卫生—肿瘤] R445[医药卫生—临床医学]