【摘要】 目的总结肾结石并肾盂鳞癌的临床特点。方法回顾性分析2008年7月～2018年12月收治的6例肾结石合并肾盂鳞癌患者的临床资料。所有患者均接受手术,行肾盂输尿管切除和经尿道膀胱袖状切除或者肾根治性切除术。总结病人的临床特征。结果所有病人均接受手术,术后均痊愈出院。术后病检证实为肾盂高-中分化鳞状细胞癌,伴肾结石。随访发现,6例患者平均生存期(8.00±3.58)个月。结论肾结石并肾盂鳞癌恶性程度高,预后差。对复杂性肾结石或者鹿角形肾结石病史长、结石负荷大、结石梗阻导致的巨大的积水、无功能肾或脓肾病人应提高警惕,必要时术中肾盂黏膜活检,排除合并肾盂鳞癌可能。更多还原

【Abstract】 Objective To summarize past cases and studied the clinical characteristics of squamous cell carcinoma of renal pelvis associated with kidney stones. Methods From July 2008 to December 2018,data of 6 patients suffering squamous cell carcinoma associated with kidney stones were collected and clinical characteristics were analyzed. Results All patients underwent operation because of stone and/or tumor. All patients recovered from the surgery( radical nephroureterectomy or nephrorectomy). But overall survival was about( 8. 00 ± 3. 58) months according to follow-up. Conclusion Squamous cell carcinoma associated with kidney stones was extremely aggressive tumour. Urologists should be alert for patients with a long medical history of kidney stones,large stone burden,severe hydronephrosis caused by stone obstruction,non-functioning kidneys and/or purulent kidneys,and relevant examinations should be done to exclude the possibility of tumors associated with kidney stones.更多还原