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目的探讨提高原发性输尿管癌的诊断水平。方法回顾性分析1995年2月至2011年12月收治的36例原发性输尿管癌的临床诊治经过。结果 36例术后病理检查均证实为输尿管癌。本病的主要症状有肉眼血尿、腰痛、病变侧肾积水等。膀胱镜检加逆行肾盂输尿管造影、输尿管镜检查为重要的诊断手段,联合应用各项检查可提高早期诊断率。行患侧肾、输尿管全切及膀胱袖状切除是该病首选术式。结论要提高原发性输尿管癌的术前诊断正确率,需密切结合临床表现,合理、综合地应用各项辅助检查。
Objective To explore the diagnosis of primary ureteral cancer. Methods The clinical diagnosis and treatment of 36 cases of primary ureteral carcinoma admitted from February 1995 to December 2011 were retrospectively analyzed. Results 36 cases of postoperative pathological examination confirmed ureteral cancer. The main symptoms of this disease are gross hematuria, low back pain, hydronephrosis and other lateral lesions. Cystoscopy plus retrograde pyeloureography, ureteroscopy as an important diagnostic tool, the combined application of various tests can improve the early diagnosis rate. Line of affected side of the kidney, ureter resection and bladder sleeve resection is the preferred surgical technique. Conclusion To improve the accuracy of preoperative diagnosis of primary ureteral cancer, it is necessary to closely combine clinical manifestations, the rational and comprehensive application of the auxiliary examination.