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目的 :提高输尿管癌的早期诊断和治疗效果。方法 :将我科 1978— 1998年收治的 38例输尿管癌作回顾分析。结果 :术前经膀胱镜、逆行输尿管造影、尿脱落细胞、CT等检查确诊 2 9例。全组均行手术 ,包括肾、全长输尿管及部分膀胱切除 2 6例 ;肾、全输尿管及膀胱切除 2例 ;输尿管节段切除吻合 3例 ;部分输尿管及膀胱切除输尿管膀胱再植 6例 ;肿瘤活检 1例。随访 2 5例 ,其中 14例无瘤生存 ,11例死亡。结论 :膀胱镜、逆行输尿管造影和尿细胞学检查是诊断的重要手段 ,CT仅对部分晚期病人分期有一定帮助。肾、全长输尿管及部分膀胱切除为最常用术式 ,且局部复发少。早期输尿管下段癌行肾保留手术是可行的
Objective: To improve the early diagnosis and treatment of ureteral cancer. Methods: 38 cases of ureteral carcinoma admitted to our department from 1978 to 1998 were retrospectively analyzed. Results: Preoperative cystoscopy, retrograde ureterography, exfoliated cells, CT and other tests confirmed 29 cases. All the patients underwent surgery including 26 cases of renal, full ureter and partial cystectomy, 2 cases of renal and total ureter and cystectomy, 3 cases of ureteral segmentectomy and anastomosis, 6 cases of partial ureter and cystectomy, Tumor biopsy in 1 case. Twenty-five cases were followed up, of which 14 had no tumor and 11 died. Conclusions: Cystoscopy, retrograde ureterography and urinary cytology are important diagnostic methods. CT can only help some patients with advanced stage disease. Kidney, full-length ureter and partial cystectomy for the most common surgical procedures, and less local recurrence. Lower ureteral carcinoma of renal artery retained surgery is feasible