原发性输尿管癌10例诊治探讨

目的提高原发性输尿管癌的诊治水平。方法回顾性分析10例原发性输尿管癌的临床资料,探讨各种检查方法的优劣和特点,总结诊治经验。结果10例术后病理诊断均为输尿管移形细胞癌,术前采用B超、IVU、膀胱镜、输尿管逆行造影、CT、MRU和尿脱落细胞学以及输尿管镜检查等确诊9例,占90%。结论应用多种综合诊断手段,可提高原发性输尿管癌的诊断符合率。膀胱镜,逆行肾盂输尿管造影是诊断本病最基本的方法,输尿管镜能明显提高本病的确诊率。早期诊断和早期手术是治疗的关键。

Experience in Diagnosis and Treatment of Primary Ureteral Carcinoma

Objective To improve the diagnosis and treatment of primary ureteral carcinoma.Methods Retrograde analysis of the clinical data of 10 cases with primary ureteral carcinoma was conducted.The experience in diagnosis and treatment was summarized.The advantage and disadvantage of every examination means were discussed.Results Postoperative pathological diagnosis was ureteral transitional cell carcinoma in all 10 cases.Preoperative diagnosis in 9 cases (90%) was made with B-ultrasound,IVU,cystoscope,retrograde pyeloureterography,CT,MRI, exfoliative cytology and Ureteroscopy.Conclusions Employment of multiple examination means can improve the diagnostic accuracy of primary uretery carcinoma.Cystoscope and retrograde pyeloureterography are the basic diagnostic means.Ureteroscopy can obviously elevate the diagnostic rate.Early diagnosis and early operation are the key of treatment.