摘要
为探讨上尿路上皮细胞癌的临床特点和诊治方法 ,回顾分析 4 2例经病理证实的上尿路上皮细胞癌。 4 2例中多器官同时发病者 1 1例 ,4 0例手术治疗 ,术后随访 34例。结果 :尿细胞学检查阳性率 6 6 .7% ,灌洗后肾盂尿检阳性率 92 .9% ,2 8例行CT检查者阳性率 85 .7% ,术后再发膀胱癌 6例。提示 :尿细胞学检查是特异性的定性诊断方法 ,灌洗肾盂尿可提高阳性率 ;CT检查对肿瘤的定位、分期有重要价值。肿瘤的多器官发病倾向应高度重视 ,治疗以肾、输尿管全长及膀胱袖套状切除为主 ,膀胱镜检查应列为常规。
To study the clinical feature diagnosis and treatment of upper urinary epithelial cell carcinoma, 42 cases of upper urinary transitional cell carcinoma as a result of pathological verification within 10 years were reviewed and analyzed. And summary and comparison were made in progress for its clinical feature, urine cytology examination results, the examination of image feature and cystoscope. Eleven cases had multi-organ relapse in the meantime, 40 cases of patients were operated, 34 cases of patients were followed up postoperatively. Urine cytology examination positive rate was 66.7%, and it could reach 92.9% after irrigation of retrograte intubation. CT positive rate was 85.7%. Six cases had bladder tumor relapsed after operation. Urine Cytology examination is the idiosyncratic qualitative diagnosis method, the pyelic Urine can raise the positive rate, CT examination has important value in orientation and stage of cancer. Multi-organs trend should be handled seriously, the treatment should be radical excision mainly, and the cystoscope examination should be carried out routinely.
出处
《首都医科大学学报》
CAS
2002年第2期169-170,共2页
Journal of Capital Medical University
