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原发性输尿管癌的诊断与治疗——附12例报告

[Diagnosis and treatment of primary ureteral carcinoma--a report of 12 cases].

作者信息

Lu C, Xie W, Xie K

机构信息

Department of Urology, Second Affiliated Hospital of Guangzhou Medical College.

出版信息

Zhonghua Zhong Liu Za Zhi. 1995 Mar;17(2):122-4.

PMID:7656802
Abstract

Twelve cases with primary ureteral carcinoma are reported with a review of literatures. Urography was the main method of diagnosis, and retrograde uretero-pyelography was more helpful. Cystoscopy was mandatory before operation. CT was useful for diagnosis and staging. If needed, ureteroscopy could be used to increase diagnostic accuracy. The traditional total nephroureterectomy with a cuff excision of the urinary bladder was the first and basic choice of treatment. Regular cystoscopy, excretory urography and adjuvant intravesical therapy should be carried out after operation.

摘要

报告12例原发性输尿管癌并复习文献。静脉尿路造影是主要诊断方法,逆行输尿管肾盂造影更有帮助。术前必须行膀胱镜检查。CT有助于诊断和分期。如有需要,输尿管镜检查可提高诊断准确性。传统的全肾输尿管切除术加膀胱袖口状切除术是首选的基本治疗方法。术后应定期行膀胱镜检查、排泄性尿路造影及辅助膀胱内灌注治疗。

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