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目的观察单切口联合经尿道电切治疗上尿路肿瘤的疗效。方法回顾性分析33例上尿路肿瘤患者先经尿道电切镜切除患侧膀胱壁段输尿管,再经腰部切口行肾脏及输尿管全长切除治疗肾盂输尿管肿瘤的临床资料。结果术后未发生出血、尿瘘及感染等并发症。在切除的输尿管口部位无肿瘤复发,患侧盆腔、腹膜后未见肿瘤种植。结论该手术方法简化了手术程序,出血少、创伤小、并发症少、术后恢复快,是治疗上尿路移行细胞癌的有效手术方法之一。
Objective To observe the curative effect of single incision and transurethral resection on upper urinary tract tumors. Methods A retrospective analysis of 33 cases of upper urinary tract cancer patients by urethral resection of the ipsilateral bladder wall ureter, and then by the lumbar incision of the entire length of the kidney and ureter resection of the treatment of renal pelvis and ureter tumor clinical data. Results No postoperative bleeding, urinary fistula and infection complications. In the removal of the ureteral orifice site no tumor recurrence, ipsilateral pelvic, retroperitoneal no tumor implantation. Conclusion The surgical procedure simplifies the surgical procedures, less bleeding, less trauma, less complications, faster recovery after surgery is one of the effective surgical treatment of upper urinary tract transitional cell carcinoma.