内窥镜诊断及治疗输尿管肿瘤7例  

The diagnosis and treatment of ureteral neoplasms with endoscopy (report of 7 cases)

作　　者：宋飞[1] 李红梅[2] 曹栋威[1] 李建兴[1] 赵谦[1] 郭环宇[1] 黄伟[1] 

机构地区：[1]济南铁路中心医院泌尿外科 [2]山东大学齐鲁医院外科,山东济南250001

出　　处：《现代泌尿外科杂志》2004年第2期98-99,共2页Journal of Modern Urology

摘　　要：目的　探讨腔内技术在输尿管肿瘤诊断及治疗中的应用价值。方法　对 2 0 0 0年 10月至 2 0 0 2年 11月收治的 7例输尿管肿瘤采用内窥镜诊断及治疗 ,术后输尿管内留置双J管引流 4～ 6周 ,5例输尿管癌配合膀胱灌注化疗。结果　患者术后病理证实 5例为移行上皮癌 ,2例为原发性输尿管息肉。随访 3个月～ 1.1年 ,无 1例复发。结论　内窥镜能够明确输尿管肿瘤诊断 ,对良性肿瘤、早期及不适宜开放手术的输尿管癌治疗具有创伤小、恢复快等优点 ,是一项安全。Objective To evaluate the diagnotic and treatment value of endoscopy in ureteral neoplasms. Methods From Oct. 2000 to Nov. 2002, seven patients who were suspected of suffering from ureteral neoplasms were examined and treated with endoscopy, and then double J stent was retained in the ureter of each patient for 4～6 weeks for drainage. The patients who were confirmed pathologically to suffer from ureteral cancer would accept the intravesical instillation therapy. Results There were 5 cases of ureteral cancer and 2 cases of primary polyp in the 7 patients. All of them remained well without recurrence on following up for 3 months to 1.1 year. Conclusion Endoscopy can be used to make final diagnosis for uretreral neoplasms because it has the advantages of little trauma and rapid recovery, and it is a safe and efficient method for the treatment of ureteral neoplasms.

关 键 词：内窥镜检查 诊断 治疗 输尿管肿瘤 膀胱灌注化疗 

分 类 号：R737.13[医药卫生—肿瘤]