【摘要】 目的:探讨肾结石伴积水合并肾盂肿瘤患者的诊断、治疗和随访。方法:分析北京大学人民医院2011年3月至2014年3月期间肾结石积水合并肾盂肿瘤5例患者的临床资料及其诊治经过。结果:5例患者在结石术前均未发现合并肾盂肿瘤。3例在肾结石术中行肾盂黏膜活检确诊肾盂癌;1例术后经影像学复查确诊;1例因感染症状行肾盂血肿清除术,通过肾盂黏膜活检确诊。5例患者中,肾盂癌根治术1例,肾盂肿瘤电灼术1例,肾动脉栓塞术2例,另1例因肿瘤晚期失去手术机会而放弃治疗。行手术治疗的4例患者术后随访至2014年3月,行肾盂癌根治术和肾盂肿瘤电灼术的2例患者未见肿瘤进展;行肾动脉栓塞术的2例患者,1例因出现新的肿物影再次行肾动脉栓塞术,另1例患者于栓塞术后2周复查发现肿瘤略增大。结论:肾结石积水合并肾盂肿瘤患者临床较为隐匿,容易漏诊;解除梗阻、肾脏血供改善后肾盂肿瘤往往进展迅速,对此类患者的早期诊断、积极干预和严密随访非常必要。更多还原

【Abstract】 Objective: To investigate the diagnosis and treatment of renal pelvic tumor combined with renal urinary calculi and hydronephrosis. Methods: Five patients with renal pelvic tumor who underwent relief of the upper urinary obstruction were reviewed. Results: One of the cases lost the opportunity of surgical therapy when pelvic tumor was detected at the advanced stage,and the other 4 cases had received surgery and were followed up. Conclusion: As pelvic tumor progresses rapidly after the renal blood flow is improved,and renal urinary calculi with hydronephrosis relieved; the patients with renal pelvic tumor need early diagnosis,aggressive treatment and close follow-up.更多还原