原发性输尿管肿瘤22例诊断与治疗体会

The diagnosis and treatment of primary urecteral cancer(report of 22 cases)

目的提高原发性输尿管肿瘤的诊断与治疗水平。方法对原发性输尿管恶性肿瘤22例进行回顾性分析,比较各种检查手段。结果随访20例(90.9%),随访时间6个月到7年,死亡8例。结论静脉尿路造影、膀胱镜和逆行肾盂输尿管造影是原发性输尿管恶性肿瘤的基本检查手段;大剂量静脉滴注尿路造影效果更好。肾输尿管全长及膀胱部分切除仍是其主要术式。

Objective To improve the diagnosis and treatment of primary urecteral cancer. Methods 22 cases of primary ureteral cancer were received. Ultra sound, IVU, cystoscopy, retrograde, ureteropyelography and intravenous drip urography of large dose were used to make the diagnosis. Results 20 cases （90.9%） were followed up for 6 months to 7 years. 8 cases were died. Conclusion Ultrasound, IVU, cystoscopy, retrograde, ureteropyelography and intravenous drip urography of large dose were essential for the diagnosis of primary ureteral carcinoma. Intravenous drip urography of large dose was more effective. Total nephroureterectomy with removal of a cuff of periureteral bladder remains to be the treatment of choice in most cases.