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报告原发性输尿管癌18例,病理确诊均为移行上皮细胞癌。作者认为静脉尿路造影、膀胱镜、逆行肾盂造影、肾盂穿刺顺行造影或CT联合检查是主要的诊断方法。肾盂穿刺顺行造影是对患侧肾不显影者最为重要的诊断手段。15例行患侧肾、输尿管全长及膀胱袖状切除,3例行输尿管部分切除+输尿管与膀胱再植术。术后应定期膀胱内灌注化疗药物。术后1年内死亡6例,2年内死亡6例,生存≥5年者6例。提示生存率与肿瘤的病理分级分期密切相关
Report of 18 cases of primary ureteral cancer, pathological diagnosis of transitional cell carcinoma. The author believes that intravenous urography, cystoscopy, retrograde pyelography, peritoneal radiography or CT combined examination is the main diagnostic method. Peritoneal laparoscopic anterograde angiography is the most important diagnostic tool for the affected side of the kidney does not develop. 15 cases of ipsilateral kidney, ureteral full-length and sleeve sleeve resection, 3 cases of partial ureteral resection + ureter and bladder replantation. Postoperative intravesical instillation of chemotherapy drugs. 6 cases died within 1 year after operation, 6 cases died within 2 years and 6 cases survived 5 years. Prompt survival rate and tumor pathological grading stage is closely related