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目的探讨上尿路移行细胞癌的诊断方法和治疗效果。方法回顾性分析近１０年来收治的７１例经病理证实的上尿路移行细胞癌。术前行尿脱落细胞学检查６０例，ＣＴ检查６１例；行肾输尿管及膀胱袖状切除６４例，术后随访６８例。结果尿细胞学和ＣＴ的阳性率分别为７２％和９３％。２６例术后再发膀胱癌。结论尿脱落细胞学检查是较好的定性诊断方法，ＣＴ检查是重要的定位诊断方法。肾输尿管及膀胱袖状切除术仍是主要的治疗方法。病人的预后与肿瘤部位、临床分期、病理分级及ＤＮＡ的倍体类型有关。
Objective To investigate the diagnosis and treatment of upper urinary tract transitional cell carcinoma. Methods Retrospective analysis of 71 cases of pathologically confirmed upper urinary tract transitional cell carcinoma admitted to the past 10 years. Preoperative urinary cytology 60 cases, CT 61 cases; line ureter and bladder sleeve resection in 64 cases, 68 cases were followed up. Results The positive rates of urinary cytology and CT were 72% and 93% respectively. 26 cases of recurrent bladder cancer. Conclusion Urinary cytology is a good method of qualitative diagnosis. CT is an important diagnostic method for diagnosis. Kidney ureter and sleeve sleeve resection is still the main treatment. The prognosis of patients with the tumor site, clinical stage, pathological grade and DNA ploidy type.