21例原发性输尿管癌的临床诊治分析

目的 提高原发性输尿管癌的诊断水平和治疗效果。方法 回顾总结9177年6月至2000年3月收治的21例原发性输尿管癌的临床资料，结果 21例均为移行细胞癌，其中1级4例、2级11例、3级6例。Ta-1期、T2期11例、T3－4期3例。随访17例，失访4例。随访时间5个月至13年。其中1年内死亡5例，1年至5年死亡6例，存活超过5年6例，5年生存率疗效药行膀胱或肾盂灌注治疗是预防肿瘤复发的最好方法。

Clinical analyses on the diagnosis and treatment of 21 cases of primary carcinoma of ureter

Objective To improve the diagnosis and treatment of primary malignant tumor of ureter. Methods From Jun. 1977 to Mar. 2000, 21 cases of primary malignant tumor of ureter have been treated and followed up. The diagnosis,treatment and late follow up results were analysed retrospectively. Results All cases were transitional cell carcinoma. 17 cases were followed up from 5 months to 13 years, the 5 years survival rate was 35.29%. Conclusions The rate of confirmed diagnosis can be raised by cystoscopy, retrograde pyelography and ureteroscopy pre operatively. The main treatment is partial nephrounetenocystectomy. The instillation of BCG and chemical drugs into bladder or renal pelvis is the best way to prevent recurrence of tumors.