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为提高原发性输尿管癌的诊治水平,对1982~1996年间收治的29例原发性输尿管癌患者的诊断、治疗情况进行临床分析。结果有24例术前确诊,9例于术后1~3年死于肿瘤局部复发或转移,3例手术后3~5年死于非肿瘤疾病。认为静脉尿路造影及膀胱镜检查为主要诊断手段,肾、输尿管全长及膀胱部分切除术仍为主要术式,对低分化患者建议行保守手术。预后与肿瘤分期及分级相关,其中分期更为重要。
In order to improve the diagnosis and treatment of primary ureteral cancer, the clinical data of 29 cases of primary ureteral carcinoma diagnosed and treated from 1982 to 1996 were analyzed. Results 24 cases were diagnosed preoperatively, 9 cases died of local recurrence or metastasis 1 to 3 years after operation, and 3 cases died of non-tumor disease 3 to 5 years after operation. That intravenous urography and cystoscopy as the main diagnostic tool, the total length of the kidney and ureter and partial resection of the bladder is still the main surgical procedures for poorly differentiated patients recommended conservative surgery. Prognosis and tumor staging and grading related, of which stage is more important.