原发性输尿管癌28例  

Primarg ureteral cancer; 28 cases report

作　　者：许建业[1] 吴海峰[1] 梁大用[1] 吴春华[1] 

机构地区：[1]宁夏医学院附属医院泌尿外科,750004

出　　处：《现代泌尿外科杂志》2002年第3期147-148,共2页Journal of Modern Urology

摘　　要：目的 提高原发性输尿管瘤的诊断与治疗。方法 回顾性分析我院1991年1月～2000年1月收治的28例原发性输尿管癌的临床资料。其中23例行根治性肾输尿管切除、膀胱袖状切除,4例行病变段输尿管切除、输尿管再吻合,1例孤立肾输尿管癌行输尿管切除肾造瘘。结果 术后病检:移行上皮癌17例,混合癌11例。所有病例随访1年,23例行根治性手术者,4例发生膀胱癌,3例死于肺转移(T_3期移行上皮癌),1例腰肋部淋巴结转移。1例孤立肾肾造瘘者,死于肾外伤。其余19例均健在。结论 原发性输尿管癌以血尿,肾区疼痛,肾积水为主要症状。对局限性输尿管癌(T_(is)-_2期)合并对侧肾脏功能异常者,可行病变段输尿管切除再吻合术后需严密随访。Objective To improve the diagnosis and treatment of primary ureteral cancer.Methods Review and analysis was done for the record 28 cases hospitalized from January 1991 to January 2000. Among them:23 cases were treated with radical nephro ureterectomy and the Part of bidder resection. 4 cases with removal of part ureter on which bad cancer and ureteroureterostomy. 1 case who had only renal and suffered from ureteral cancer was treated with nephrotresis. Pathological diganosis showed there were 17 cases with ureteral transitional cell cacinoma and 11 cases with compound cancinoma. Results All cases were followedup for one year. 4 cases out of 23 cases that had radical operation suffered from bladder cancer,3 cases died of long metastasis( transitional cell cacinoma T3 term), 1 case was lumb ales lymphnodc metastasis. 1 case who had solitary kidenv died from renal rupture.The nther 19 cases were in good health. Conclusion The main symptoms of primary ureteral cancer are hemataria, pain in renal region, hydronephrosis. The operation of removal part ureter and urereroureterostomy should be taken if the ureteral tumor is local (Tis - T2 stage) and another kideny is abnormal.The follow- up is demanded.

关 键 词：原发性 输尿管癌 诊断 治疗 

分 类 号：R737.13[医药卫生—肿瘤]