肾盂癌预后较差,约50%的患者于术后5年内因肿瘤复发、转移而死亡[1]。2009年6月山西省肿瘤医院收治了1例孤立肾肾盂癌,采用肾盂切开肿瘤切除术+肾造瘘术,术中切除肿瘤后直视下点状电极电灼其它基底周围黏膜,其后行羟基喜树碱肿瘤局部灌注,术后留置D-J管及右肾造瘘管,联合术后辅助治疗,近期效果良好,现报告如下。 Renal pelvis cancer prognosis is poor, about 50% of patients within 5 years after the tumor recurrence, metastasis and death [1]. In June 2009, one case of solitary renal pelvis cancer was treated in Shanxi Cancer Hospital. The tumor was resected by pyeloplasty and nephrostomy. After the resection of the tumor, the punctate electrodes under the direct vision were used to cauterize the mucosa around the other basilar mucosa. Local hydroxy camptothecin tumor perfusion, postoperative indwelling DJ tube and right renal fistula, combined with postoperative adjuvant therapy, the recent good results are as follows.