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目的探讨上尿路上皮肿瘤的诊疗方法,提高诊疗水平。方法回顾分析130例上尿路上皮肿瘤患者的临床资料。结果首发症状以肉眼血尿最为常见。术后病理检查发现移行细胞癌115例(88.5%);9例输尿管癌病理标本癌组织、息肉、正常组织并存。Ⅰ、Ⅱ期与Ⅲ、Ⅳ期患者1、3、5年生存率比较均有统计学意义(P<0.05)。结论老年输尿管息肉易癌变,应及时治疗。肿瘤类型、分期、分级是重要预后指标。肾、输尿管全长及膀胱袖口状切除是标准术式。
Objective To investigate the diagnosis and treatment of upper urothelial tumors and improve the diagnosis and treatment. Methods The clinical data of 130 patients with upper urothelial tumors were retrospectively analyzed. Results The first symptom of gross hematuria is the most common. Postoperative pathological examination revealed 115 cases of transitional cell carcinoma (88.5%); 9 cases of ureteral cancer pathological specimens of cancer, polyps, normal tissues co-exist. The 1, 3, 5-year survival rates of stage Ⅰ, Ⅱ and Ⅲ, Ⅳ were statistically significant (P <0.05). Conclusion Elderly ureteral polyps susceptible to cancer should be promptly treated. Tumor type, stage, grade is an important prognostic indicator. Kidney, ureter length and bladder cuff resection is a standard procedure.