16例原发性输尿管癌的诊断体会

The diagnostic experiences in primary ureter carcinoma (Report of 16 cases)

目的 :提高原发性输尿管癌的早期诊断水平。方法 :回顾性分析 16例原发性输尿管癌的临床资料 ,总结诊断经验。结果 :术前采用IVU、B超、膀胱镜、逆行尿路造影、CT等多种方法确诊为原发性输尿管癌 14例 (88% ) ,术后病理检查 16例均为原发性输尿管移行细胞癌。结论 :对老年人不明原因的单侧腰痛和肾积水 ,要考虑到该病的可能 ;术前联合采用多种诊断方法可提高其确诊率 ;对老年人不明原因的单侧输尿管狭窄应慎重对待。

Purpose:To improve the diagnostic accuracy in primary ureter carcinoma. Methods:The clinical data of 16 cases of primary ureter carcinoma was retrospectively analyzed to evaluate various kinds of the diagnostic means and summarize the diagnostic experiences in such disease.Results:These 16 cases were postoperatively diagnosed as primary ureter carcinoma. With use of IVU, ultrasound, cystoscopy, retrograde pyelography, CT scan etc, 14 cases obtained the correct diagnosis prior to the operations.Conclusions:The primary ureter carcinoma should be considered in the older age patients with the unilateral lumbago and hydronephrosis of unknown cause. Its diagnostic accuracy might be improved by combined use of many diagnostic means before surgery; the unilateral ureter obstruction of unknown cause should be cautiously managed in the older age patients.