经膀胱远端输尿管切除术在肾盂输尿管癌根治术中的应用(附9例报告)  

Application of intravesical ureterectomy in the treatment of renal pelvic and ureteral malignancy

作　　者：孙忠全[1] 钱伟庆[1] 宋建达[1] 吴惠兴[1] 谢旦声[1] 徐骏[1] 盛璐[1] 周俊[1] 贾懿[1] 

机构地区：[1]上海华东医院泌尿科,上海200040

出　　处：《中国癌症杂志》2002年第2期172-173,共2页China Oncology

摘　　要：目的 :探讨经膀胱远端输尿管切除术在治疗肾盂、输尿管癌中的应用价值。方法 :肾切除后 ,从远端输尿管放置输尿管导管入膀胱 ,然后经膀胱将输尿管内翻套叠于膀胱 ,用电刀切除远端输尿管及输尿管口周围部分膀胱壁。采用此法治疗 9例肾盂癌。结果 :9例术后无感染、尿瘘等并发症 ,亦无明显出血。经平均 18.6个月随访 ,未发现环切口肿瘤种植 ,亦未发现膀胱和其他部位发生肿瘤。结论 :此手术方法操作简单 ,易于掌握 ,无需特殊设备 ,且并发症少 ,效果好 。Purpose:To improve the surgical technique in the treatment of renal pelvic and ureteral malignancy.Methods:From May. 1998 to December. 2000 intravesical ureterectomy has been carried out for 9 cases of renal pelvic malignancy . the distal ureter was intussuscepted into the bladder by traction of a ureteral catheter that had been attached to the cephalad end of the ureter after the kidney was removed. Patients have been followed up for 6 to 30 months with a mean of 18.6 months.Results:No surgical complication has been observed. On cystoscopy, no tumor occurrence has been found at the site of the removed ureteral orifice and other part of the bladder.Conclusions:The surgical technique is characterized by good results,few complication and simplicity.

关 键 词：经膀胱远端输尿管切除术 肾盂输尿管癌 根治术 

分 类 号：R737[医药卫生—肿瘤] R730.56[医药卫生—临床医学]