CAJ | 학술논문

目的提高对原发性输尿管癌的诊断和治疗水平.方法回顾性分析26例原发性输尿管癌患者的临床资料,并对诊断和治疗问题进行讨论.结果本组21例患者随访4～72个月.其中9例5年内死亡,3例5年内发生膀胱移行细胞癌及远处转移,9例存活至今.结论静脉和逆行尿路造影,CT、磁共振成像、内窥镜检查对诊断很有价值.早期明确诊断并及时手术治疗是关键.卡介苗、丝裂霉素或吡柔比星膀胱灌注对预防输尿管癌术后发生膀胱癌有效.
목적 제고대원발성수뇨관암적진단화치료수평.방법 회고성분석26례원발성수뇨관암환자적림상자료,병대진단화치료문제진행토론.결과 본조21례환자수방4～72개월.기중9례5년내사망,3례5년내발생방광이행세포암급원처전이,9례존활지금.결론 정맥화역행뇨로조영,CT、자공진성상、내규경검사대진단흔유개치.조기명학진단병급시수술치료시관건.잡개묘、사렬매소혹필유비성방광관주대예방수뇨관암술후발생방광암유효.
Objective To improve the diagnosis and treatment of primary ureteral transitional cell carcinoma.Methods Clinical data of 26 cases of primary ureteral carcinoma were retrospectively investigated.and the problems related to the diagnosis and treatment were discussed.Results Twenty-one cases have been followed up for 4 to 72 months.21 cases postoperative intravesical irrigation the bacillus Calmette-Guerin or Mitomycin or Pirarubicin would help in the prevention of the postoperative recurrence of bladder cancer within two years.After treatment the survived for 4 to 72 months.9 cases died in 5 years,3 developed bladder carcinoma and remote metastasis within five years and another 9 cases ale still alive up to now.Conclusion The main diagnostic were IVU and retrograde ureteropyelography,CT,MRI,cystoscopy and ureteroscopy.The early diagnosis and treatment still was the key to raise the survival rate of patients.Postoperative intravesical irrigation the Bacillus CalmetteGuerin or Mitomycin or Pirarubicin would help in the prevention of the postoperative recurrence of bladder cancer.