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影像学及腔内技术在输尿管癌诊断中的应用
引用本文:唐来坤,郦俊生,杨银才,李立,潘良,沙键,田峰,徐伟,郑伯营,杨南京. 影像学及腔内技术在输尿管癌诊断中的应用[J]. 中国综合临床, 2001, 17(12): 956-957
作者姓名:唐来坤  郦俊生  杨银才  李立  潘良  沙键  田峰  徐伟  郑伯营  杨南京
作者单位:1. 上海市徐汇区中心医院泌尿外科,
2. 上海市天山中医院外科,
3. 上海市徐汇区长桥医院,
摘    要:目的:提高输尿管癌术前及时诊断水平。方法:结合有关文献对32例输尿管癌采用影像学及腔内技术检查的选择及其临床特点进行分析。结果:输尿管癌的首发症状以肉眼血尿最常见,32例术后经病理检查证实。与术前影像学腔内技术检查诊断符合率为100%。结论:输尿管癌有时缺乏典型症状,凡原因不明血尿患者,影像学及腔内技术检查有极其重要作用。经B型超声波或静脉尿路造影影检查发现肾积水或肾不显影时,应考虑到输尿管癌的可能。在各种检查中,逆行肾盂造影和输尿管镜检查是最重要的诊断方法。

关 键 词:输尿管癌 血尿 影像学 内窥镜
文章编号:1008-6315(2001)12-0956-02
修稿时间:2001-06-30

Application of imaging and endoscope in diagnosis of creteral arcinoma
Tang Laikun,Li Junsheng,Zheng Boying,et al.. Application of imaging and endoscope in diagnosis of creteral arcinoma[J]. Clinical Medicine of China, 2001, 17(12): 956-957
Authors:Tang Laikun  Li Junsheng  Zheng Boying  et al.
Affiliation:Tang Laikun,Li Junsheng,Zheng Boying,et al.Department of Urology,The Central Hospital of Xuhui District,Shanghai 200031
Abstract:Objective To evaluate the preoperative diagnosis of ureteral carcinoma.Methods The clinical features and selection of imaging and endoscope in 32 ureteral carcinoma patients were analyzed.Results The common symptom was hematuria.32 cases were confirmed by pathological examination as ureteral carcinoma and the diagnostic corresponding rate was 100% by color doppler and endoscopic technique.Conclusion Imaging and endoscopic examination are very important in hematuria patients without unknown reasons.Ureteral carcinoma should be considered when B mode ultrasound and venous urography show hydronephrosis and no development.Retrograde ureteropyelography and ureteroscopy are the most important diagnostic methods among various examinations.
Keywords:Ureteral carcinoma  Hematuria  Imaging  Endoscope
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