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目的探讨组合式输尿管软镜在一期诊断和治疗肾盂癌中的应用价值。方法回顾分析我院肾盂癌病例资料,其发病隐匿,诊断难度大。9例肾盂癌患者运用组合式输尿管软镜一期诊断,并采用肾盂癌根治术(肾、输尿管全长切除及膀胱输尿管开口袖套状切除)的临床资料。结果术后病理检查均为浸润性尿路上皮细胞癌(高级别8例,低级别1例)。TNM临床分期:Ⅰ期5例、Ⅱ期4例。术后定期膀胱内灌注化疗,定期复查膀胱镜,目前所有患者未见肿瘤复发。结论组合式输尿管软镜,可以提高肾盂癌的诊断率,一期完成肾盂癌根治性切除,减少患者手术创伤和手术并发症。
Objective To evaluate the value of combined ureteroscopy in the diagnosis and treatment of renal pelvic cancer. Methods Retrospective analysis of our hospital renal pelvis cancer case information, the occult onset, diagnosis is difficult. Nine cases of renal pelvic cancer patients with combined ureteral soft-mirror diagnosis, and the use of radical nephroureterectomy (kidney, total ureteral resection and vesicoureteral ureter open resection) clinical data. Results Postoperative pathological examination was invasive urothelial carcinoma (8 cases of high grade and 1 case of low grade). TNM clinical stage: stage Ⅰ in 5 cases, stage Ⅱ in 4 cases. Regular intravesical instillation of chemotherapy after surgery, regular review of cystoscopy, no tumor recurrence in all patients. Conclusions Combined ureteroscopy can improve the diagnosis rate of renal pelvic cancer, complete the radical resection of renal pelvic cancer in one phase and reduce the surgical trauma and complications in patients.