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[目的]探讨肾盂癌的诊断、治疗及预后,提高肾盂癌的诊治水平。[方法]回顾性分析31例肾盂癌患者的临床资料。[结果]30例患者行手术治疗,其中26例行肾、输尿管全长及膀胱袖状切除术,4例行肾及足够长度输尿管切除术。随访30例患者,随访时间3个月～6年,Ⅰ～Ⅱ期与Ⅲ～Ⅳ期患者的1年、3年和5年生存率相比较差异均有显著性(P<0.01)。27例移行细胞癌Ⅰ～Ⅱ级与Ⅲ级患者的1年、3年和5年生存率相比较差异均有显著性(P<0.01)。[结论]肾盂癌的诊断主要依靠临床表现及影像学检查,肾、输尿管全长及膀胱袖状切除是主要的治疗方法。预后与病理类型、分期和分级密切相关。
[Objective] To investigate the diagnosis, treatment and prognosis of renal pelvic cancer and to improve the diagnosis and treatment of renal pelvic cancer. [Methods] The clinical data of 31 patients with renal pelvic cancer were retrospectively analyzed. [Result] Thirty patients underwent surgical treatment. Among them, 26 patients underwent renal and ureteral full - length resection and bladder sleeve resection, and 4 patients underwent renal and sufficient length ureter. The follow-up of 30 patients was followed up for 3 months to 6 years. The 1-year, 3-year and 5-year survival rates of patients with stage Ⅰ-Ⅱ and Ⅲ-Ⅳ were significantly different (P <0.01). There were significant differences in the 1-year, 3-year and 5-year survival rates of grade Ⅰ ~ Ⅱ and grade Ⅲ in 27 cases of transitional cell carcinoma (P <0.01). [Conclusion] The diagnosis of renal pelvic cancer mainly depends on the clinical manifestations and imaging examination. The main treatment is kidney and ureter length and bladder sleeve resection. Prognosis and pathological type, stage and grade are closely related.