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目的提高原发性输尿管癌的诊治水平。方法回顾性分析了11例原发性输尿管癌临床资料,比较各种检查方法,总结诊治经验。结果11例术前经B超、IVU、膀胱镜及逆行肾盂输尿管造影、CT、MRU等检查,术后均行病理检查。结论联合应用B超、IVU、膀胱镜、逆行肾盂输尿管造影和CT、MRU检查方法,可提高原发性输尿管癌的诊断符合率。对本病的诊断治疗进行了讨论,手术以肾、输尿管全长和膀胱袖口状切除术为首选。
Objective To improve the diagnosis and treatment of primary ureteral cancer. Methods The clinical data of 11 patients with primary ureteral carcinoma were retrospectively analyzed. Various examinations were compared and the experience of diagnosis and treatment was summarized. Results Eleven cases underwent preoperative B-ultrasound, IVU, cystoscopy and retrograde pyelography, CT, MRU and other examinations. Postoperative pathological examination was performed. Conclusions Combined application of B-mode ultrasonography, IVU, cystoscopy, retrograde pyelography and CT, MRU can improve the diagnostic accuracy of primary ureteral carcinoma. The diagnosis and treatment of the disease were discussed, surgery, kidney, ureter length and bladder cuff resection is preferred.