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影像学及腔内技术在输尿管癌诊断中的应用

Application of imaging and endoscope in diagnosis of creteral arcinoma

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【作者】 唐来坤郦俊生郑伯营杨银才李立潘良沙键田峰徐伟杨南京

【Author】 Tang Laikun,Li Junsheng,Zheng Boying,et al.Department of Urology,The Central Hospital of Xuhui District,Shanghai 200031

【机构】 上海市徐汇区中心医院泌尿外科上海市天山中医院外科

【摘要】 目的提高输尿管癌术前及时诊断水平。方法结合有关文献对 32例输尿管癌采用影像学及腔内技术检查的选择及其临床特点进行分析。结果输尿管癌的首发症状以肉眼血尿最常见 ,32例术后经病理检查证实。与术前影像学腔内技术检查诊断符合率为10 0 %。结论输尿管癌有时缺乏典型症状 ,凡原因不明血尿患者 ,影像学及腔内技术检查有极其重要作用。经 B型超声波或静脉尿路造影检查发现肾积水或肾不显影时 ,应考虑到输尿管癌的可能。在各种检查中 ,逆行肾盂造影和输尿管镜检查是最重要的诊断方法。

【Abstract】 Objective To evaluate the preoperative diagnosis of ureteral carcinoma.Methods The clinical features and selection of imaging and endoscope in 32 ureteral carcinoma patients were analyzed.Results The common symptom was hematuria.32 cases were confirmed by pathological examination as ureteral carcinoma and the diagnostic corresponding rate was 100% by color doppler and endoscopic technique.Conclusion Imaging and endoscopic examination are very important in hematuria patients without unknown reasons.Ureteral carcinoma should be considered when B mode ultrasound and venous urography show hydronephrosis and no development.Retrograde ureteropyelography and ureteroscopy are the most important diagnostic methods among various examinations.

【关键词】 输尿管癌血尿影像学内窥镜
【Key words】 Ureteral carcinomaHematuriaImagingEndoscope
  • 【文献出处】 中国综合临床 ,Clinical Medicine of China , 编辑部邮箱 ,2001年12期
  • 【分类号】R737.13
  • 【被引频次】2
  • 【下载频次】11
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