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目的 :探讨肾盂癌的诊断和治疗方法 ,提高肾盂癌的诊治水平。方法 :回顾性分析 36例肾盂癌患者的临床资料。结果 :34例手术治疗 ,手术顺利 ,病理检查示移行细胞癌 32例 ,鳞癌 2例 ,肿瘤侵犯肾实质 31例 ,肾门淋巴结有转移 9例 ,侵犯肾包膜 9例 ,输尿管浸润 8例 ,膀胱发现肿瘤 2例 ,侵犯肾血管、腹主动脉 1例 ,侵犯肾上腺并出血 1例。随访 6月～ 11年 ,1年生存率 82 % ,5年生存率 5 5 .6 % ,平均生存 5 .3年 ,肿瘤侵犯膀胱者均定期膀胱镜检复查 ,膀胱内灌注化疗。结论 :肾盂癌诊断主要依靠临床表现及放射学检查 ,早期诊断 ,及时根治性肾、输尿管切除术是主要的治疗方法 ,应重视输尿管肾镜及经皮肾镜在诊治中的作用。
Objective: To investigate the diagnosis and treatment of renal pelvic cancer and to improve the diagnosis and treatment of renal pelvic cancer. Methods: The clinical data of 36 patients with renal pelvic cancer were analyzed retrospectively. Results: Thirty-four surgeries were performed successfully. The pathological examination showed 32 cases of transitional cell carcinoma, 2 cases of squamous cell carcinoma, 31 cases of renal parenchymal tumor, 9 cases of hilar lymph node metastasis, 9 cases of renal capsule invasion, 8 cases of ureteral invasion , Bladder tumor found in 2 cases, violations of renal blood vessels, abdominal aorta in 1 case, infringement of the adrenal gland and bleeding in 1 case. Followed up for 6 months to 11 years, 1-year survival rate was 82%, 5-year survival rate was 5.56%, with an average survival of 5.3 years. Cysts of tumor invading cysts were examined regularly by cystoscopy and intravesical chemotherapy. Conclusion: The diagnosis of renal pelvic cancer depends mainly on clinical manifestations and radiological examination, early diagnosis, timely radical nephrectomy and ureteral resection are the main treatment methods, and should pay attention to the role of ureteroscopic and percutaneous nephrolithotomy in diagnosis and treatment.