上尿路上皮癌临床诊断方法分析

目的探讨上尿路上皮癌合适的诊断方法。方法回顾性分析我院108例上尿路上皮癌病人的临床资料。结果B超、静脉尿路造影（IVU）、CT对肾盂癌阳性诊断率分别为63.8%、52.4%、79.0%,对输尿管癌的阳性诊断率分别为53.6%、26.3%、90.0%,其中2例病人由CT尿路造影（CTU）诊断,2例由输尿管镜诊断,3例由磁共振诊断,2例由腔内B超诊断。结论在上尿路上皮癌的诊断过程中,超声可用于初步筛选检查,静脉尿路造影应为常规检查方法,根据病人情况可选择性进行CT、CTU、磁共振尿路造影（MRU）、腔内B超和输尿管镜检查。

DIAGNOSTIC METHODS OF UPPER TRACT UROTHELIAL CARCINOMA

Objective To study the suitable diagnostic methods for urothelial cancers. Methods Clinical data of 108 patients with upper tract urothelial carcinomas were retrospectively analyzed. Results Rates of final diagnosis by ultrasonography, intravenous urography （IVU）, and computed tomography （CT） for renal pelvic cancer were 63.8%, 52.4% and 79.0% % of carcinoma of the ureter were 53. 6%, 26. 3% and 90. 0% respectively, in which, two cases were confirmed by CT urography （CTU）, two by MR urography （MRU）, three by ureteroscopy, and two by endoluminal ultrasonography. Conclusion In the diagnosis of upper tract urothelial carcinomas, ultrasonography may be used as a preliminary screening, and IVU as a routine, while CT, CTU, MRU, endoluminal ultrasonography or ureteroscopy be selected as supplementary based on need.