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目的总结40例原发性输尿管肿瘤的诊断和治疗经验,提高诊治水平。方法对40例原发性输尿管肿瘤患者进行回顾性分析,总结各种检查方法的应用价值和不同方法的治疗效果,对不同病理类型肿瘤的预后进行初步评估。结果40例患者中16例术前应用输尿管镜技术确诊,15例尿瘤细胞阳性,其余9例有影像学改变。40例标本术后病理证实移行细胞癌36例,腺癌2例,鳞癌2例。随访8个月～5年,3例1年内死亡,15例存活超过3年,16例存活超过5年。结论影像学联合输尿管镜组织活检是原发性输尿管肿瘤的最佳诊断途径,其预后与病理类型密切相关。
Objective To summarize the experience of diagnosis and treatment of 40 primary ureteral tumors and improve the diagnosis and treatment. Methods Forty patients with primary ureteral tumor were retrospectively analyzed. The application values of various examination methods and the curative effects of different methods were summarized. The prognosis of different pathological types of tumors was preliminarily evaluated. Results Of the 40 patients, 16 cases were diagnosed by ureteroscopy preoperatively, 15 cases were positive for urine tumor cells, and the other 9 cases had imaging changes. Forty cases were pathologically confirmed 36 cases of transitional cell carcinoma, 2 cases of adenocarcinoma and 2 cases of squamous cell carcinoma. All patients were followed up for 8 months to 5 years. Three patients died in one year, 15 patients survived more than 3 years and 16 patients survived more than 5 years. Conclusions Imaging combined with ureteroscopic biopsy is the best way to diagnose primary ureteral tumor. The prognosis is closely related to the pathological type.