中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
4期
610-611
,共2页
王乐浩%李星洪%张克斌%李光昭%许哲%刘世忠
王樂浩%李星洪%張剋斌%李光昭%許哲%劉世忠
왕악호%리성홍%장극빈%리광소%허철%류세충
输尿管肿瘤%诊断技术,泌尿科
輸尿管腫瘤%診斷技術,泌尿科
수뇨관종류%진단기술,비뇨과
Ureteral neoplasms%Diagnostic techniques,surgical
目的 探讨原发性输尿管肿瘤早期诊断的途径,以提高早期诊治率.方法 回顾分析28例输尿管肿瘤临床资料,比较超声检查、静脉尿路造影(IVU)、逆行尿路造影检查(RU)、螺旋CT、MRI、微创腔镜检查、尿液脱落细胞检查等诊断意义.结果 阳性率较高的术前检查有RU、螺旋CT、MRI、腔镜检查.28例均行手术治疗,手术以肾、输尿管全长加膀胱袖状或膀胱部分切除为主,共19例.术后病理报告移行细胞癌27例,腺癌1例,其中T1-2肿瘤8例.获得随访25例.1990年至1999年14例存活1、2、3、4、5、6年者分别为1、5、3、2、2、1例.2000年至2007年14例,失访4例,术后存活1、3年者各2例,6例未满5年者仍在随访中.结论 早期联合超声、IVU、RU、螺旋CT三维重建、MRI等检查分析是提高早期诊断率的有效途径.一经诊断,尽快手术治疗.
目的 探討原髮性輸尿管腫瘤早期診斷的途徑,以提高早期診治率.方法 迴顧分析28例輸尿管腫瘤臨床資料,比較超聲檢查、靜脈尿路造影(IVU)、逆行尿路造影檢查(RU)、螺鏇CT、MRI、微創腔鏡檢查、尿液脫落細胞檢查等診斷意義.結果 暘性率較高的術前檢查有RU、螺鏇CT、MRI、腔鏡檢查.28例均行手術治療,手術以腎、輸尿管全長加膀胱袖狀或膀胱部分切除為主,共19例.術後病理報告移行細胞癌27例,腺癌1例,其中T1-2腫瘤8例.穫得隨訪25例.1990年至1999年14例存活1、2、3、4、5、6年者分彆為1、5、3、2、2、1例.2000年至2007年14例,失訪4例,術後存活1、3年者各2例,6例未滿5年者仍在隨訪中.結論 早期聯閤超聲、IVU、RU、螺鏇CT三維重建、MRI等檢查分析是提高早期診斷率的有效途徑.一經診斷,儘快手術治療.
목적 탐토원발성수뇨관종류조기진단적도경,이제고조기진치솔.방법 회고분석28례수뇨관종류림상자료,비교초성검사、정맥뇨로조영(IVU)、역행뇨로조영검사(RU)、라선CT、MRI、미창강경검사、뇨액탈락세포검사등진단의의.결과 양성솔교고적술전검사유RU、라선CT、MRI、강경검사.28례균행수술치료,수술이신、수뇨관전장가방광수상혹방광부분절제위주,공19례.술후병리보고이행세포암27례,선암1례,기중T1-2종류8례.획득수방25례.1990년지1999년14례존활1、2、3、4、5、6년자분별위1、5、3、2、2、1례.2000년지2007년14례,실방4례,술후존활1、3년자각2례,6례미만5년자잉재수방중.결론 조기연합초성、IVU、RU、라선CT삼유중건、MRI등검사분석시제고조기진단솔적유효도경.일경진단,진쾌수술치료.
Objective To evaluate the choice of early diagnosis method of primary ureteral neoplasms in or-der to improve the ratio of clinical diagnosis. Methods 28 cases with primary ureteral neoplasms were retrospectively analyzed. Ultrasonic examination, IVU, retrograde urogram, spiral CT, MRI, ureteroscopy and exfoliative cell examina-tion of urine were compared in this study. Results The most useful methods of detecting tumors preoperation were retrograde urogram, spiral CT, MRI, ureteroseopy. All the 28 patients underwent surgical treatment. Among them, nephroureterectomy and bladder cuff or partial resection were performed in 19 cases. Postoperative pathology showed transitional cell carcinoma in 27 cases,and adenoma in 1 case. 8 cases were T1-2 tumours. Of the 14 cases during 1990 ~1999 period, 1,5,3,2,2 and 1 cases had survival time of 1,2,3,4,5 and 6 years ,respectively. Of the 14 cases during 2000~2007,4 were lost to follow-up;2 survived for 3 years and 2 for 1 year;the other 6 who have survived near 5 years have been followed till now. Conclusions To improve the early diagnosis rate,B-ultrasonic examination, IVU,retrograde urogram,3D spiral CT and MRI examination were necessary in the early stage. The patients should be opeiated as early as possible after diagnosis.