上尿路上皮肿瘤的诊治分析

Discussion of diagnosis and treatment for upper tract urothelial tumor 130 cases

目的探讨上尿路上皮肿瘤的诊疗方法,提高诊疗水平。方法回顾分析130例上尿路上皮肿瘤患者的临床资料。结果首发症状以肉眼血尿最为常见。术后病理检查发现移行细胞癌115例(88.5%);9例输尿管癌病理标本癌组织、息肉、正常组织并存。Ⅰ、Ⅱ期与Ⅲ、Ⅳ期患者1、3、5年生存率比较均有统计学意义(P<0.05)。结论老年输尿管息肉易癌变,应及时治疗。肿瘤类型、分期、分级是重要预后指标。肾、输尿管全长及膀胱袖口状切除是标准术式。

Objective To improve the experience of diagnosis and treatment of upper tract urothelial tumor. Methods The clinical date of 130 patients with upper tract urothelial tumor admitted in our hospital were analyzed retrospectively. Results Hematuria was the most common symptom of upper tract urothelial tumor. 115 （ 88.5% ） cases were transitional cell carcinoma. There were carcinoma tissue, polyp tissue and normal tissue in pathology type of 9 carcinoma of ulreter. The 1 - year, 3 - year and 5 - year survival rates of Ⅰ and Ⅱ stage cases and Ⅲ and Ⅳ stage cases were compared re- spectively, the difference statistically significant （P 〈 0. 05 ）. Conclusion The ureteral polyp was easy to develop can- cerization in old men, so that it must be therapy early. Tumor type, stage and grade are both the prognostic factors. Nephroureterectomy with a cuff of bladder is the standard operative way.