【关键词】  输尿管癌

　　Clinical study of 38 cases of primary ureteral carcinoma

　　ABSTRACT: Objective  To improve the diagnosis and treatment of primary ureteral carcinoma. Methods  Diagnosis and treatment of 38 cases of primary ureteral carcinoma received during 1999 to 2004 were analyzed. Results  The diagnosis of 38 cases was confirmed by pathological examination after operation. The main symptoms were hematuria, waist ache hydronephrosis. It was considered that urography, cystoscopy and ureteroscopy were the most important approaches. Radical nephroureterectomy and cuff resection of bladder mucosa should be the first choice of treatment. Conclusion  All cases with hematuria but without clear causes should be considered as having primary ureteral carcinoma. Early diagnosis, reasonable treatment and prevention of recurrence are the key to the survival of patients.

　　KEY WORDS: primary ureteral carcinoma; hematuria

　　摘要：目的  提高原发性输尿管癌的诊断与 治疗 水平。 方法   对1999年-2004年收治的38例原发性输尿管癌患者的诊断、治疗经验进行 总结 。结果  38例术后病理检查均证实为输尿管癌，本病主要症状有肉眼血尿、腰痛、病变侧肾积水等。尿路造影及膀胱镜、输尿管镜检查为重要诊断手段，联合 应用 各项检查可提高早期诊断率。患侧肾、输尿管全切及膀胱袖口状切除是首选术式。结论  对于原因不明血尿者，应想到本病可能。对原发性输尿管肿瘤早期诊断、合理治疗和预防复发是提高患者长期生存的关键。

　　关键词：原发性输尿管癌；血尿

　　原发性输尿管癌是泌尿生殖系统中……