摘要
目的:提高原发性输尿管癌术前诊断正确率。方法:回顾性分析1995年2月～2003年5月收治的28例原发性输尿管癌的临床诊治经过。结果:临床表现有肉眼血尿者25例(89.3%),血尿伴腰痛10例(35.7%),仅表现为腰痛3例(10.7%),腹部包块1例(3.6%)。B超检查28例,发现输尿管内实质占位病变7例(25.0%);26例行IVU检查,仅3例(11.5%)发现典型的输尿管腔内充盈缺损;膀胱镜检查19例,其中5例(26.3%)发现有肿块自输尿管口突入膀胱内;逆行输尿管插管12例,逆行尿路造影10例,诊断9例(90.0%);CT扫描16例,6例(37.5%)发现输尿管内肿块影;MRU检查15例,诊断输尿管癌6例(40.0%);输尿管镜诊断输尿管癌2例;20例行尿脱落细胞学检查,11例(55.0%)查见肿瘤细胞。结论:要提高原发性输尿管癌的术前诊断正确率,需要密切结合临床表现,合理、综合地应用各种辅助检查。
Objective：To improve the diagnosis of primary ureteral carcinoma. Methods：We conducted a retrospective study of 28 cases during the past 8 years from Feb. 1995 to May 2003, different diagnostic methods were evaluated. Results：The patients consisted of 20 males and 8 females. Among 28 cases, 25（89.3%） had symptoms of gross hematuria, 10（35.7%） had hematuria concomitant with flank pain, 3（10.70%） had sole flank pain, abdominal mass had been palpated in 1 （3.6 % ）;7（25.0 % ） were definitely diagnosed out of 28 by B-ultrasound, 3 （11.5%）out of 26 by IVU, 7（36.8%）out of 19 by cystoscopy, 9（90.0%）out of 10 by retrograde urography, 6 （37.5%）out of 16 by CT, 6（40.0%）out of 15 by MRU; 20 received urinary cytology, carcinoma cells were found in the urine of 11 （55.0 % ）, 2 were diagnosed by ureteroscopy. Conclusions： The rational application of these methods with attention to symptoms and signs were keys to improve accuracy of diagnosis.
出处
《临床泌尿外科杂志》
2006年第2期111-112,114,共3页
Journal of Clinical Urology
关键词
原发性输尿管癌
诊断
Primary ureteral carcinoma
Diagnosis
