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目的 提高原发性输尿管癌的诊治水平。方法 回顾分析 1 6例原发性输尿管癌的临床特点、诊断、治疗及预后。结果 1 6例术后病理检查 1 5例为输尿管移行细胞癌 ,1例为鳞状上皮细胞癌。主要症状有肉眼血尿 ,病变侧肾积水。CT及膀胱镜检查。逆行输尿管造影和输尿管镜检查为主要诊断方法 ,以手术治疗为主。结论 凡原因不明的血尿患者应考虑到输尿管癌的可能。早期诊断、正确治疗和预防复发是提高患者生存率的关键
Objective To improve the diagnosis and treatment of primary ureteral cancer. Methods The clinical features, diagnosis, treatment and prognosis of 16 cases of primary ureteral carcinoma were retrospectively analyzed. Results Fifteen cases of ureter transitional cell carcinoma and one case of squamous cell carcinoma were found in 16 cases of postoperative pathological examination. The main symptoms are gross hematuria, hydronephrosis of the side of the disease. CT and cystoscopy. Retrograde ureterography and ureteroscopy as the main diagnostic methods, mainly to surgical treatment. Conclusion All patients with unexplained hematuria should consider the possibility of ureteral cancer. Early diagnosis, correct treatment and prevention of recurrence are the keys to improve the survival rate of patients