| [高血压医学论文]
作者：吴春华 师宏斌 卢冠军
【摘要】 目的 探讨 治疗 肾盂移行细胞癌的新 方法 及疗效。方法 总结 2003年1月至2006年3月收治的12例患者的临床资料。病例均采用经尿道输尿管口及周围膀胱壁袖套状切除加腰部斜切口肾输尿管全切术。合并膀胱肿瘤及腺性膀胱炎者同期行汽化电切处理(TUEVBt)。术后1周拔除导尿管开始膀胱灌注化疗。半年一次膀胱镜检。结果 全部病例均一期愈合，无出血、感染、漏尿等并发症发生。病理证实均为肾盂移行细胞癌Ⅰ-Ⅲ级。1例术后9个月膀胱肿瘤复发行TUEVBt。现患者均健在。结论 该法操作简单，疗效好，创伤小，并发症少，恢复快，可同时处理膀胱其他疾患，是治疗肾盂移行细胞癌的良好术式。
【关键词】 尿道 肾输尿管切除术 肾肿瘤 移行性细胞
Transurethral excision of bladder cuff combined with retroperitoneal nephroureterectomy for transitional cell carcinoma of renal pelvis
ABSTRACT: Objective To study a way to treat transitional cell carcinoma of renal pelvis and evaluate the effect. Methods Clinical data of 12 cases were analysed retrospectively from Jan. 2003 to March 2006. All patients underwent transurethral excision of bladder cuff and retroperitoneal nephroureterectomy. The patients with bladder tumor or cystitis glandularis were treated by TUEVBt synchronously. One week after operation, the catheter was pulled out and intravesical chemotherapy was performed. All patients received cystoscopy every half a year. Results All patients gained onestage recovery; there were no complications such as bleeding, infection and ur……
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