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1、输尿管末段肿瘤行保肾手术临床效果分析［摘要］日的：总结原发性输尿管肿瘤的诊断和治疗经验，提高该病的诊治水平。方法：对12例行保肾手术的原发性输尿管肿瘤患者进行冋顾性分析，对不同病理类型肿瘤的预后进行初步评估。结果：12例输尿管末段肿瘤患者经开放手术，10例经输尿管镜手术，2例于电灼前钳取病灶组织，手术后进行病理诊断，其屮输尿管移行细胞癌11例(G14例、G25例、G32例)。鳞癌1例。分期为T16例、T24例、T31例、T41例。对本组12例输尿管末段肿瘤患者进行随访6个月〜5年，有9例患者获得随访，3例患者失访；9例中术后3个月〜3年出现膀胱移行细胞癌6
2、例；术后2年同侧输尿管复发1例；术后1年发现对侧上尿路肿瘤1例。术后5个月发现肺部转移1例鳞癌(T4期)，于术后10个月死亡。结论：影像学联合输尿管镜组织活检是原发性输尿管肿瘤的最佳诊断途径，其预后与病理类型密切相关。保肾手术有复发风险，需进行随访，但对早期、低级别原发性输尿管肿瘤手术效果良好。［关键词］输尿管；末段；肿瘤；保肾手术［中图分类号］R737.13［文献标识码］C［文章编号］1674-4721(2011)07(a)-184-02Clinicaleffectanalysisofkidneyssurgerywithureteraltumorlast
3、paragraphZHANGYanming,HUANGSuifu,LVDongUropoiesisSurgicalDepatmentoftheFirstPeople'sHospitalofKaifengCity,HehanProvince,Kaifeng475000,China[Abstract]Objective:Tosummarizetheprimaryureteraltumordiagnosisandtreatmentexperieneeandimprovediagnosisandtreatmentofdisease.Methods:Retrospe
4、ctivlyanalyzedthe12casesofprimaryureteralsurgeryandkidnoys,tumoredofdifferentpathologicaltypesoftumorsapreliminaryassessmentoftheprognosis・Results:12patientswithureteraltumorlastparagraphweretreatedwithopensurgery,10casesweretreatedwithureteroscopy,2caseswereforcepedcliptissueforc
5、epsbeforefulguration,pathologicaldiagnosedaftersurgeryinwhich11casesoftransit!onalcel1carcinomaoftheureter(G14cases,G25cases,G32cases),squamouscellcarcinomain1case・ThestagingwasTl6cases,T24cases,T31case,T41case.12casesofureteraltumorlastparagraphpatientswerefollowedupfor6monthsto5
6、years,9patientswerefollowedup,3patientswerelosttofollow;After3monthsto3yearsoftransitionalcel1careinomaofthebladderoccurred6casesin9cases,1caseofipsilateralureterrecurrenceafter2years;1caseofcontralateralupperurinarytracttumorafter1year,1caseofsquamouscellcareinomalungmetastasis(T
7、4period)after5months,whowasdeadafter10months・Conclusion:Imagingunitedureteralmirrorbiopsyisthebestdiagnosisprimaryureteraltumorwayanditiscloselyrelatedtotheprognosisandpathologicaltype.Thekidneysurgeryhastheriskofrecurrenee,needstoundertakefollowup,buttoearly,lowlevelofprimaryuret
8、eraltumorsurgeryeffectisgood.[Key
