原发性输尿管肿瘤诊治22例  

The experience of thd diagnosis anel therapy in the pvimary ureteral cancer.

作　　者：王晨庄[1] 冯继周[1] 赵晓燕[1] 

机构地区：[1]延安大学医学院附属医院泌尿外科,陕西延安716000

出　　处：《现代泌尿外科杂志》2003年第2期105-106,共2页Journal of Modern Urology

摘　　要：目的 提高原发性输尿管肿瘤的诊断与治疗水平。方法 回顾分析自1992年以来收治的22例原发性输尿管肿瘤的诊断方法,包括尿脱落细胞学检查、B超、IVU检查、膀胱镜、RGP检查及CT扫描得到确诊。结果 临床检查显示,原发性输尿管肿瘤的最常见症状为血尿。14例行肾、输尿管全段及输尿管周围的部分膀胱壁切除术,8例行输尿管部分切除术。术后发生膀胱癌2例,行经尿道膀胱肿瘤电切术治疗。结论 对原因不明的血尿患者应考虑到输尿管肿瘤的可能。掌握适应证,对原发性输尿管癌患者及时进行根治性手术治疗,尤为重要。AIM To improve the diagnosis and therapy of the primary ureteral cancer. METHODS The datu of 22 cases with ureteral cancer since 1992 was retrospectively analyzed with literature review. RESULTS The hemouria is the most common symptom. 14cases was treated with neplirectomy, ureteractomy and partial cystectomy, 8 cases received partial ureterctomy. Two cases was recurred in bladder after operation, and treated with TURBt. CONCLUSION We should think about the possibility of the ureteral cancer when we met with the pa-tient with hemouria, and the ureteralectomy is very important for the patient of primary ureteral cancer.

关 键 词：原发性输尿管肿瘤 诊断 治疗 血尿 

分 类 号：R737.13[医药卫生—肿瘤]