摘要
目的 :提高输尿管癌的早期诊断和治疗效果。方法 :将我科 1978— 1998年收治的 38例输尿管癌作回顾分析。结果 :术前经膀胱镜、逆行输尿管造影、尿脱落细胞、CT等检查确诊 2 9例。全组均行手术 ,包括肾、全长输尿管及部分膀胱切除 2 6例 ;肾、全输尿管及膀胱切除 2例 ;输尿管节段切除吻合 3例 ;部分输尿管及膀胱切除输尿管膀胱再植 6例 ;肿瘤活检 1例。随访 2 5例 ,其中 14例无瘤生存 ,11例死亡。结论 :膀胱镜、逆行输尿管造影和尿细胞学检查是诊断的重要手段 ,CT仅对部分晚期病人分期有一定帮助。肾、全长输尿管及部分膀胱切除为最常用术式 ,且局部复发少。
Purpose:To improve early diagnosis and treatment of ureteral carcinoma. Methods:The clinical characteristics of ureteral carcinoma were retrospectively analyzed in 38 cases who underwent surgical treatment in our department from 1978 to 1998. Results:The diagnosis was preoperatively confirmed in 29 cases using cystoscopy, retrograde ureteropyelograpy, urine cytology and CT scanning. Surgical intervention was undertaken in all patients, including total nephroureterectomy with segmental cystectomy in 26 ,segmental ureterocystectomy with ureteroneocystostomy in 6 ,segmental ureterectomy with end to end anastomosis in 3, total nephroureterocystectomy in 2, tumor biopsy in 1. 25 of the 38 cases were followed up. 14 patients survived with no tumor, the others died. Conclusions:The main diagnostic methods were cystoscopy, retrograde ureteropyelograph and urine cytology. CT scanning may be of some help for tumor stage classification in late stage patients. Total nephroureterectomy with segmental cystoectomy was commonly used for most patients to minimize recurrence. For patients with early stage the lower partial ureteral carcinoma, conservative srugery without nephrectomy was feasible clinically.
出处
《中国癌症杂志》
CAS
CSCD
2000年第2期129-131,共3页
China Oncology
