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目的探讨提高原发性输尿管癌诊治水平的方法。方法回顾总结18例最终确诊为原发性输尿管癌病例的诊断、治疗方法。其中男13例,女5例,平均年龄58岁。综合运用尿脱落细胞学、B超、CT、静脉尿路造影,输尿管镜检查,使患者获得明确诊断,并行手术治疗。结果随诊18例,随诊时间6个月~5年,存活16例,死亡2例,肿瘤复发4例。结论提高原发性输尿管癌的诊断率必须结合病史,综合运用多种手段。患侧肾、输尿管和膀胱正常切除仍是治疗原发性输尿管癌的基本方法。术后定期膀胱腔内灌注化疗,有助于减少肿瘤复发。
Objective To explore ways to improve the diagnosis and treatment of primary ureteral cancer. Methods To review and summarize the diagnosis and treatment of 18 cases of primary ureteral carcinoma. There were 13 males and 5 females, with an average age of 58 years. Comprehensive use of urine cytology, B ultrasound, CT, intravenous urography, ureteroscopy, so that patients get a clear diagnosis, and surgical treatment. Results Follow-up 18 cases, followed up for 6 months to 5 years, 16 cases of survival, 2 died, 4 cases of tumor recurrence. Conclusion To improve the diagnosis of primary ureteral cancer must be combined with history, the use of a variety of means. Ipsilateral kidney, ureter and bladder resection is still the basic treatment of primary ureteral cancer. Regular intravesical instillation of chemotherapy in the bladder helps to reduce tumor recurrence.