【作者】 陈合群； 黄初阳； 祖雄兵； 李杨； 齐琳； 宁坷平；

【Author】 CHEN He-qun ,HUANG Chu-yang (Department Of Urology, Xiangya Hospital,Center South University,Changsha 410000)

【机构】 中南大学湘雅医院泌尿外科；

【摘要】 目的:提高肾结石并发肾盂癌的诊治水平。方法:回顾性分析21例肾结石并发肾盂癌病例资料。结果:21例肾盂癌均行手术治疗,9例术前确诊者,行根治性肾切除、输尿管部分切除及局部淋巴清扫术;8例行包膜下肾切除术,3例行肾切除术加输尿管部分切除术,1例行根治性肾切除、输尿管全切和肾门淋巴清扫术;病理结果示移行细胞癌4例,鳞状细胞癌16例,粘液腺癌1例;术后随访9例4～28月,术后生存时间3～21月。结论:肿瘤的临床分期和细胞分化分级是最有用的预后指标,重视肾盂癌的早期诊断、早期处理对肾结石并发肾盂癌的长期存活有极重要的意义。更多还原

【Abstract】 Objective:To improve the diagnosis and treatment of carcinoma of renal pelvis and nephrolith.Methods:21 cases of carcinoma of renal pelvis and nephrolith were analysised retrospectively.Results : All patients cases were treated surgically,only 9 cases was final diagnosis before operation, all of the cases were operated by nephrectomy、their part ureter were resected and the lymphs of region were resected completely,8 cases was operated by subcapsular nephrectomy;3 cases was operated by nephrectomy and their part ureter were resected; 1 case kidney and ureter were resected with radical correction and the lymphs of renal hilum were resected completely.According to the pathological diagnosis,there were 4 cases of transitional cell carcinoma,16 cases of squamous cell carcinoma,1 cases smucinous adenocarcinoma;9 cases had been followed and evaluated for 4 ～ 28 months , survival time is 3 ～ 21 months.Conclusion:Tumor stage and grade are the most useful prognostic indicators.Early diagnosis and treatment of tumors in low-grade and low-stage are critical for long-term surviva1 of carcinoma of renal pelvis and nephrolith.更多还原