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目的探讨原发性输尿管癌的诊断、治疗措施及效果。方法回顾性分析68例原发性输尿管癌患者的临床资料,所有患者均经术后病理检查确诊为输尿管癌,分析其一般资料、诊断与治疗方法等。结果术后病理检查显示,本组68例患者中,58例为移行细胞癌,7例为腺癌,3例为鳞癌。27例为G1级,27例为G2级,14例为G3级;17例为A期,20例为B期,20例为C期,11例为D期;治疗后,所有患者均获得随访,持续随访4年,12例术后生存时间<1年,28例术后生存时间为1~3年,28例术后生存时间>3年。结论临床上提升原发性输尿管癌患者治疗效果的关键是尽早诊断和尽早治疗。按照患者具体情况对其实施针对性治疗,能有效延长生存期,值得进行深入研究和推广。
Objective To investigate the diagnosis, treatment and effect of primary ureteral cancer. Methods A retrospective analysis of 68 cases of primary ureteral cancer in patients with clinical data, all patients were diagnosed by postoperative pathological ureteral cancer, analysis of its general information, diagnosis and treatment methods. Results Postoperative pathological examination showed that among the 68 patients in this group, 58 were transitional cell carcinoma, 7 were adenocarcinoma and 3 were squamous cell carcinoma. 27 cases were grade G1, 27 cases were grade G2, 14 cases were grade G3, 17 cases were stage A, 20 cases were stage B, 20 cases were stage C and 11 cases were D stage. After treatment, all patients were followed up , Followed up for 4 years, 12 cases of postoperative survival time <1 year, 28 cases of survival time of 1-3 years, 28 cases of survival time> 3 years. Conclusion The key to improve the therapeutic effect of patients with primary ureteral carcinoma is to diagnose and treat as soon as possible. In accordance with the specific circumstances of patients with targeted treatment, can effectively extend the survival period, it is worth carrying out in-depth study and promotion.