摘要
[目的]评价膀胱移行细胞癌（BTCC）常规行静脉泌尿系造影（IVU）的临床意义。[方法]回顾分析本院2002-2005年诊治的299例BTCC患者的相关资料。[结果]BTCC伴发上尿路肿瘤的发生率为3.0%（共9例）。其中4例（44.4%）在IVU上被发现,另有一例在IVU上怀疑存在上尿路肿瘤,后被证实为输尿管结石。BTCC瘤体距输尿管管口小于2 cm,可能增加伴发上尿路肿瘤的危险性。[结论]BTCC患者没有必要全部常规行IVU,但瘤体位于输尿管管口附近的患者应行IVU,而且多发或复发的患者应进行此项检查。
[Objective]To evaluate clinical significance of routine intravenous urography （IVU） in transitional cell carcinoma of bladder（BTCC）.[Methods]A total of 299 patients with BTCC from 2002 to 2005 in our hospital were reviewed retrospectively.[Results]The incidence of upper urinary tract tumors was 3.0%（9 cases）,4 cases（44.4%） of them were detected with IVU,and another suspected upper urinary tract tumor in IVU was proved to be a ureteral stone.The only risk factor that might predict an upper urinary tract tumor was the distance between bladder tumor and orifice of ureter less than 2 cm（P=0.009）.[Conclusions]Routine IVU is not necessary for each patient with BTCC,but IVU in the patients whose bladder tumor arises around ureteral orifice is recommended.IVU is also indicated in patients with multiple or recurring BTCC.
出处
《医学临床研究》
CAS
2007年第7期1101-1103,共3页
Journal of Clinical Research
