69例肾盂癌的影像学特点及早期诊断报告

发布时间：2018-05-10 06:47

本文选题：肾盂癌 + 典型临床表现　；参考：《重庆医学》2017年31期

【摘要】：目的探讨肾盂癌的典型临床表现及影像学特点。方法回顾性总结该科2008年7月至2016年11月69例术后病理证实为肾盂癌患者的临床资料,分析其典型临床表现、影像学特点及治疗方案。结果 69例均以血尿待查入院,均表现为肉眼血尿。泌尿系B超检出率为71.43%,CT尿路造影(CTU)检出率为84.06%,静脉尿路造影(IVU)+尿路平片(KUB)检出率为70.27%,逆行肾盂造影(RP)检出率为90.32%,输尿管软镜镜检(FU)检出率为91.67%,所取组织病理活检检出率为58.33%,荧光原位杂交技术(FISH)检出率为79.07%。69例皆行腹腔镜联合下腹部切口肾盂癌根治性切除术,术后病检皆证实为肾盂癌。结论输尿管软镜镜检对肾盂癌的确诊率最高,但由此方法所取组织病理活检阳性率并不理想;逆行肾盂造影、CTU确诊率次之,泌尿系B超、FISH、IVU+KUB可作为肾盂癌的初筛及术后复查手段。
[Abstract]:Objective to investigate the typical clinical and imaging features of renal pelvis carcinoma. Methods the clinical data of 69 cases of renal pelvis carcinoma confirmed by pathology from July 2008 to November 2016 were reviewed retrospectively. The typical clinical manifestations, imaging features and treatment plan were analyzed. Results 69 cases were admitted to hospital with hematuria, all of them showed naked hematuria. The detection rate of CT urography (CTU) was 84.06, that of intravenous urography (IVU) was 70.27, that of retrograde pyelography was 90.32, that of soft ureteroscopy was 91.67. The rate of pathological biopsy was 91.67. The detection rate of urinary tract B ultrasound was 84.06, that of intravenous urography was 70.27, that of retrograde pyelography was 90.32, and that of ureteroscopy was 91.67. The detectable rate was 58.33 and fluorescence in situ hybridization (fish) was 79.07. 69 cases were treated with laparoscopic radical resection of renal pelvis carcinoma through abdominal incision. All postoperative examinations confirmed renal pelvis carcinoma. Conclusion the diagnosis rate of ureteral soft microscopy is the highest in renal pelvis carcinoma, but the positive rate of histopathological biopsy obtained by this method is not ideal, and the diagnosis rate of CTU by retrograde pyelography is the second. FISHIVU KUB can be used as screening and reexamination of renal pelvis carcinoma.
【作者单位】：重庆医科大学附属第一医院泌尿外科;
【基金】：重庆市教委科技基金项目(KJ1500207)
【分类号】：R737.11

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