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目的:分析原发性输尿管癌14例。临床表现主要以血尿和腰痛为主,主要诊断方法为排泄性尿路造影、膀胱镜检查及逆行输尿管插管造影。治疗方法以患侧肾、输尿管切除及膀胱袖状切除为主。对分级、分期低及输尿管下1/3段肿瘤可行保守治疗。放疗、化疗可作为辅助治疗。结论:必须提高对该病的认识,提高早期确诊能力,应用合理的治疗方案,提高生存率。
Objective: To analyze 14 cases of primary ureteral carcinoma. The main clinical manifestations of hematuria and low back pain, the main diagnostic methods for the voiding urography, cystoscopy and retrograde ureterography. The treatment of ipsilateral kidney, ureteral resection and bladder sleeve resection based. On the grading, staging low and ureteral 1/3 tumor feasible conservative treatment. Radiotherapy, chemotherapy can be used as adjuvant therapy. Conclusion: It is necessary to raise awareness of the disease, improve the ability of early diagnosis, apply reasonable treatment and improve the survival rate.