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目的提高原发性输尿管癌的诊治水平。方法对我院1990年3月～2007年1月收治的27例原发性输尿管癌作回顾性分析。结果肉眼血尿,腰痛和肾积水是本病主要临床表现。26例为移行细胞癌,1例为腺癌,术前确诊7例,占25.9%。术后随访23例6月～7年,死亡14例,12例死于腹膜后、肺、脑转移,1例死于心肌梗塞,1例死于车祸。结论提高原发性输尿管癌的诊断要根据临床表现,对不明原因肾积水、间歇性全程肉眼血尿,追查原因。
Objective To improve the diagnosis and treatment of primary ureteral cancer. Methods Retrospective analysis of 27 cases of primary ureteral cancer admitted to our hospital from March 1990 to January 2007. Results gross hematuria, back pain and hydronephrosis are the main clinical manifestations of the disease. 26 cases of transitional cell carcinoma, 1 case of adenocarcinoma, 7 cases were diagnosed preoperatively, accounting for 25.9%. Twenty-three patients were followed up from June to July, 14 died, 12 died of retroperitoneal, lung and brain metastases, 1 died of myocardial infarction and 1 died of a car accident. Conclusion To improve the diagnosis of primary ureteral cancer based on clinical manifestations, unexplained hydronephrosis, intermittent gross gross hematuria, tracing the reasons.