原发性输尿管癌的诊断（附31例报告）

目的提高原发性输尿管癌术前诊断水平。方法结合有关献对1980年10月～1999年10月收治的31例原发性输尿管癌的临床特点及各种检查方法的选择进行分析。结果31例术后均经病理检查证实。首发症状以肉眼血尿最常见，术前诊断符合率为100％。结论凡原因不明的血尿患，经B超或静脉尿路造影检查发现肾积水或肾不显影时应考虑到原发性输尿管癌的可能。认为在各种检查中逆行肾盂造影、膀胱镜检查及输尿管镜检查是最重要的诊断方法。

Diagnostic experience of primary ureteral carcinoma (Report of 31 cases)

Objective To improve prcoperative diagnosis of primary uretcral carcinoma. Methods The clinical characteristic,diagnostic methods of primary uretcral carcinoma were reviewed with literature in 31 patients from Oct .1980 to Oct . 1999. Results All cases were proved by pathological diagnosis after opertation.The common symptom was painless gross hematuria.The diagnostic corresponding rate was 100% . Conclusions All hematuria of uncertain causes with hydronephrosis or no pyelvic imaging in the ultrasonography of intravencns pyelogram should be considered as primary ureteral carcinoma. The main diagnostic methods wcry retrograde ureteropyelography,cystoscopy and uretcroscopy among the various examination methods.