原发性输尿管癌26例临床诊治分析

目的探讨原发性输尿管癌的诊断和治疗，以提高其诊断的正确率及治疗水平。方法对1996年2月至2008年5月在我院收治的26例原发性输尿管癌的诊治经过进行回顾性分析。结果术前影像学检查确诊为原发性输尿管癌21例，术后经病理检查26例均为原发性输尿管移行细胞癌。行根治性肾输尿管切除术23例，保守手术治疗3例。24例获得随访，生存5年或5年以上11例（45．83％）。结论术前采用多种检查方法可提高原发性榆尿管癌的诊断正确率，早期选择合适的手术方式可以提高患者术后生存率。

Clinical diagnosis and treatment of primary ureteral carcinoma

Objective To investigate the diagnosis and treatment of primary ureteral carcinoma in order to raise the accuracy of its diagnosis and treatment. Methods The clinical data of 26 cases of primary ureteral carcinoma in this hospital admitted from February 1996 to May 2007 were retrospectively analyzed. Results There were 21 cases having definite diagnosis as primary ureteral carcinoma confirmed by imaging before operation, and 26 cases were confirmed as primary ureteral carcinoma by pathological examination after operation. Among them, 23 cases underwent radical nephroureterectomy and 3 cases received conservative surgical treatment. 24 cases were followed up, and the survival time in 11 cases reached or exceeded 5 years （45.83 % ）. Conclusion The accuracy of diagnosis of primary ureteral carcinoma can be raised by using various examination methods and the postoperative survival rate may be increased by early choice of appropriate operation.