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目的探讨肾盂癌的诊断及手术治疗方式。方法回顾分析2008-2009年华西医院34例肾盂癌临床资料,29例行肾盂癌根治手术。腰部行开放手术根治性切除患肾,输尿管下段用电切镜经尿道输尿管膀胱壁段袖套样电切拖出术。结果左侧19例(65.6%),右侧10例(34.4%),术后病理检查为尿路上皮细胞癌,G1级4例,G2级17例,G3级8例,临床TNM分期T1N0M0 3例,T2N0M017例,T3N0M08例,T4N0M01例。结论肾盂癌的主要临床表现为血尿,B超是肾盂癌的常规检查,CT是其主要诊断方法,腰部开放手术联合经尿道输尿管下段切除拖出术对治疗肾盂癌有效。
Objective To investigate the diagnosis and surgical treatment of renal pelvic cancer. Methods The clinical data of 34 cases of renal pelvic cancer in West China Hospital from 2008 to 2009 were analyzed retrospectively. Twenty - nine patients underwent radical operation of renal pelvis cancer. Radical line open surgery radical resection of the kidney, the lower ureter with resectoscope transurethral urethral bladder wall cuff-like resection. Results There were 19 cases (65.6%) on the left side and 10 cases (34.4%) on the right side. The postoperative pathological examination was urothelial carcinoma with 4 cases of G1, 4 cases of G2, 17 cases of G2, 8 cases of G3 and TNM stage T1N0M0 3 Cases, T2N0M017 cases, T3N0M08 cases, T4N0M01 cases. Conclusions The main clinical manifestations of renal pelvic cancer are hematuria. B ultrasound is routine examination of renal pelvic cancer. CT is the main diagnostic method. Open surgery combined with transurethral ureter removal is effective for the treatment of renal pelvic cancer.