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目的:提高输尿管肿瘤的诊治水平。方法:回顾性分析27例输尿管下段肿瘤的临床资料,总结诊治经验。结果:通过术中冷冻及术后病理证实,24例为输尿管移行细胞癌,2例息肉,1例为平滑肌瘤。术前经B超、IVP、MRU、输尿管镜检查等确诊16例,行手术治疗。结论:联合应用B超、IVP、MRU、输尿管镜检查可提高输尿管肿瘤的诊断符合率。良性肿瘤采用输尿管镜下钬激光治疗,采用后腹腔镜辅助小切口肾输尿管及膀胱袖套状切除术治疗输尿管移行细胞癌,该术式安全、有效,可确保完整切除全长输尿管。
Objective: To improve the diagnosis and treatment of ureteral tumors. Methods: A retrospective analysis of 27 cases of lower ureteral tumors of the clinical data, summed up the experience of diagnosis and treatment. Results: Through intraoperative freezing and postoperative pathology confirmed, 24 cases of ureteric transitional cell carcinoma, two cases of polyps, one case of leiomyoma. Preoperative ultrasound B, IVP, MRU, ureteroscopy, diagnosed in 16 cases, surgical treatment. Conclusion: Combined application of B-ultrasound, IVP, MRU and ureteroscopy can improve the diagnostic coincidence rate of ureteral tumors. Ureteroscopic holmium laser treatment of benign tumors, laparoscopic assisted small incision nephroureterectomy and bladder cuff-like resection for the treatment of ureteral transitional cell carcinoma, the operation is safe and effective, to ensure the complete removal of full-length ureter.