原发性输尿管癌的诊断与治疗(附20例报告)

The Clinical Diagnosis and Treatment of the Primary Ureteral Carcinoma(Report of 20 Cases)

目的:提高原发性输尿管癌的诊断与治疗水平。方法:回顾性分析20例原发性输尿管癌患者的临床表现、诊断与治疗方法。结果:对中老年人不明原因的单侧腰痛、肾积水、间歇性全程肉眼血尿应考虑该病。术前采用B超、IVU、CT、膀胱镜、逆行尿路造影、MRU检查,确诊为原发性输尿管癌14例,术后病理检查20例均为原发性输尿管移行细胞癌。结论:要提高原发性输尿管癌的术前诊断准确率,需要术前采用多种诊断方法。

Objective：To improve the diagnosis and treatment of primary ureteral carcinoma（PUC）.Methods：Twenty cases of primary ureteral carcinomas confirmed by pathological studies were reviewed.Results：It should be cousiedered as having primary ureteral carcimoma with lateral lumbar ache,hydronephrosis and the intermittent painless gross hematuria without obvious causes of other ones.There were 14 cases having definite diagnosis as primary ureteral carcinoma from ultrasound B,IVU,CT,cystoscopy,retrograde urography and MRU before operation,and 20 cases was confirmed as primary ureteral carcinoma by pathological examination after operation.Conclusion：More methods must be used to improve the accurate diagnotic rate before operation of pimary ureteral carcinoma.