中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
12期
1087-1089
,共3页
祝凤明%伊庆同%龚旻%胡巍%顾建军%陈楚红%叶敏
祝鳳明%伊慶同%龔旻%鬍巍%顧建軍%陳楚紅%葉敏
축봉명%이경동%공민%호외%고건군%진초홍%협민
泌尿道%上皮肿瘤%诊断%治疗
泌尿道%上皮腫瘤%診斷%治療
비뇨도%상피종류%진단%치료
Urinary tract%Epithelial neoplasms%Diagnosis%Therapy
目的 探讨多器官尿路上皮肿瘤的诊疗经验.方法 回顾性分析10例多器官尿路上皮肿瘤患者的临床资料.术前合理选用B超、静脉尿路造影(IVU)、行肾盂造影(R-P)、泌尿系造影(CTU)、泌尿系成像(MRU)、膀胱镜、输尿管镜等检查提示同时有2个或2个以上尿路器官发生尿路上皮肿瘤.结果 6例行根治性患侧肾、全输尿管切除术及膀胱部分切除术;3例行根治性患侧肾、全输尿管切除术及膀胱全切除术加尿流改道术;1例行患侧输尿管末段切除术、膀胱全切除术.目前8例存活,其中1例发生后尿道肿瘤行尿道全切除术;2例分别于术后18个月和32个月死亡.结论 应用超声、IVU、RP、CTU、MRU、膀胱镜、输尿管镜检查等对多器官尿路上皮肿瘤的诊断具有重要意义.应根据肿瘤分期和级别及患者的情况,选择不同的手术方式.术后应加强监测、密切随访.
目的 探討多器官尿路上皮腫瘤的診療經驗.方法 迴顧性分析10例多器官尿路上皮腫瘤患者的臨床資料.術前閤理選用B超、靜脈尿路造影(IVU)、行腎盂造影(R-P)、泌尿繫造影(CTU)、泌尿繫成像(MRU)、膀胱鏡、輸尿管鏡等檢查提示同時有2箇或2箇以上尿路器官髮生尿路上皮腫瘤.結果 6例行根治性患側腎、全輸尿管切除術及膀胱部分切除術;3例行根治性患側腎、全輸尿管切除術及膀胱全切除術加尿流改道術;1例行患側輸尿管末段切除術、膀胱全切除術.目前8例存活,其中1例髮生後尿道腫瘤行尿道全切除術;2例分彆于術後18箇月和32箇月死亡.結論 應用超聲、IVU、RP、CTU、MRU、膀胱鏡、輸尿管鏡檢查等對多器官尿路上皮腫瘤的診斷具有重要意義.應根據腫瘤分期和級彆及患者的情況,選擇不同的手術方式.術後應加彊鑑測、密切隨訪.
목적 탐토다기관뇨로상피종류적진료경험.방법 회고성분석10례다기관뇨로상피종류환자적림상자료.술전합리선용B초、정맥뇨로조영(IVU)、행신우조영(R-P)、비뇨계조영(CTU)、비뇨계성상(MRU)、방광경、수뇨관경등검사제시동시유2개혹2개이상뇨로기관발생뇨로상피종류.결과 6례행근치성환측신、전수뇨관절제술급방광부분절제술;3례행근치성환측신、전수뇨관절제술급방광전절제술가뇨류개도술;1례행환측수뇨관말단절제술、방광전절제술.목전8례존활,기중1례발생후뇨도종류행뇨도전절제술;2례분별우술후18개월화32개월사망.결론 응용초성、IVU、RP、CTU、MRU、방광경、수뇨관경검사등대다기관뇨로상피종류적진단구유중요의의.응근거종류분기화급별급환자적정황,선택불동적수술방식.술후응가강감측、밀절수방.
Objective To explore the experiences of the diagnosis and treatment of urothelial tumor in multiple organs.Methods Clinical data of 10 patients with urothelial tumor in multiple organs were retrospectively reviewed.Urothelial tumors were found in two or more organs at the same time by B ultrasound,IVU,R-P,CTU,MRU,cystoscopy,ureteroscopy and so on before operation.Results 6 cases were operated by radical total nephroureterectomy and partial cystectomy,3 cases were operated by radical total nephroureterectomy and cystectomy with urinary diversion,1 case was operated by partial ureterectomy and total cystectomy.8 of them were alive,1 case was operated by total urethrectomy because of tumor recurrence in the posterior urethra,one died of metastasis tumor 18 months after operation,and the other died 32 month after operation.Conclusions Combined use of various kinds of the diagnostic means (ultrasound,IVU,R-P,CTU,MRU,cystoscopy,ureteroscopy) are important for the diagnosis of urothelial tumor in multiple organs.It needs to select the operate mode according to the tumor staging and grade and the patient's condition.Reinforcement surveillance and close follow up is required after operation.