【摘要】 目的提高原发性输尿管癌术前诊断的正确率。方法回顾性分析我院自1995年5月至2005年12月收治的38例原发性输尿管癌的临床诊治经过。结果本组38例,男性25例,女性13例。临床表现有肉眼血尿者33例(86.8%),血尿伴腰痛13例(34.2%),仅表现为腰痛3例(7.9%)。B超检查发现输尿管内实质占位病变10例(26.3%)。静脉尿路造影(IVU)38例,仅5例(13.2%)发现典型的输尿管腔内充盈缺损。膀胱镜检查,其中5例(13.2%)发现有肿块自输尿管口突入膀胱内,18例逆行输尿管插管加逆行尿路造影,诊断17例(94.4%)。CT扫描29例,11例(37.9%)发现输尿管内肿块影。磁共振泌尿系成像(MRU)27例,诊断输尿管癌9例(33.3%)。输尿管镜诊断输尿管癌3例。28例行尿脱落细胞学检查,16例(57.1%)查见肿瘤细胞。结论要提高原发性输尿管癌的术前诊断正确率,需要密切结合临床表现,合理、综合地应用各种辅助检查。更多还原

【Abstract】 Purpose To improve the diagnosis of primary ureteral carcinoma. Methods We conducted a retrospective study of 38 cases during the past 8 years from May 1995 to Dec. 2005, different diagnostic methods were evaluated. Results The patients consisted of 25 males and 13 females. Among the 38 cases,33 (86.8) had symptoms of gross hematuria, 13(34.2) had hematuria concomitant with flank pain, 3(7.9) had sole flank pain; 10(26.3) were definitely diagnosed out of 38 by B-ultrasound, 5(13.2)out of 38 by IVU, 5(13.2)out of 38 by cystoscopy, 17(94.4)out of 18 by retrograde urography, 11(37.9)out of 29 by CT, 9(33.3)out of 27 by MRU; Urinary cytology was positive in 16/28 (57.1). Three were diagnosed ureteral carcinoma by ureteroscopy. Conclusions The rational application of these methods with attention to symptoms and signs were keys to improve accuracy of diagnosis.更多还原