摘要
为提高原发性输尿管癌的诊治水平,对1982~1996年间收治的29例原发性输尿管癌患者的诊断、治疗情况进行临床分析。结果有24例术前确诊,9例于术后1~3年死于肿瘤局部复发或转移,3例手术后3~5年死于非肿瘤疾病。认为静脉尿路造影及膀胱镜检查为主要诊断手段,肾、输尿管全长及膀胱部分切除术仍为主要术式,对低分化患者建议行保守手术。预后与肿瘤分期及分级相关,其中分期更为重要。
In order to elevate the levels of diagnosis and treatment of primary ureter carcinoma, 29 cases of primary ureteral carcinoma were analyzed clinically. Most of the patients underwent total nephroureterectomy and were followed up for 6 months~ 12 years. 24 cases were diagnosed be fore the operation. 9 cases died of the local recurrence and metastasis of tumor within1~3 years after operation. 3 cases died of non-tumorous diseases within 3~5 years after operation. It was considered that urography and cystoscopy were main diagnostic methods of primary ureteral carcinoma. Total nephroureterectomy was the first choice in open surgery. The prognosis was related to the grade and stage of tumor,the latter especially.
出处
《临床泌尿外科杂志》
1998年第10期441-443,共3页
Journal of Clinical Urology