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目的 减少和预防肾盂癌术后输尿管残端癌及输尿管口附近膀胱肿瘤的发生。方法 肾盂癌行肾、输尿管全长及膀胱部分切除。输尿管残端癌行输尿管残端及膀胱部分切除。术中及术后膀胱灌注化疗药物。结果 本组36例行输尿管残端及膀胱部分切除,术中及术后膀胱灌注化疗,二年内未见复发,均存活五年以上。结论 肾盂癌必须行肾、输尿管全长及膀胱部分切除、术中及术后膀胱灌注化疗,可减少和预防输尿管残端癌及膀胱肿瘤的发生。
Objective To reduce and prevent the occurrence of ureteral stump cancer and ureteropelvic bladder tumor in patients with renal pelvic cancer after operation. Methods Renal cancer, renal pelvis and ureter were resected. Ureter stump cancer ureter stump and bladder partial resection. Intraoperative and postoperative bladder chemotherapy drugs. Results 36 cases of ureteral stump and partial resection of the bladder, intraoperative and postoperative bladder infusion chemotherapy, no recurrence within two years, all survived more than five years. Conclusion Renalopelvic cancer must undergo renal and ureteral full-length resection and partial resection of the bladder. Intraoperative and postoperative bladder infusion chemotherapy can reduce and prevent the occurrence of ureteral stump cancer and bladder cancer.