69例肾盂癌的影像学特点及早期诊断报告.docVIP

69例肾盂癌的影像学特点及早期诊断报告 李思江 蒲军 何云锋 王德林 吴小候 陈娟 重庆医科大学附属第一医院泌尿外科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 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。 关键词： 肾盂癌; 典型临床表现; 影像学特点; 治疗方案; 作者简介：李思江 (1993-) , 住院医师, 本科, 主要从事泌尿系肿瘤研究。 作者简介：陈娟, E-mail:1069349019@。 收稿日期：2017-05-20 基金：重庆市教委科技基金项目 (KJ1500207) Image characteristics and early diagnosis of renal pelvic carcinoma:report of 69 cases Li Sijiang Pu Jun He Yunfeng Wang Delin Wu Xiaohou Chen Juan Department of Urologic Surgery, First Affiliated Hospital, Chongqing Medical University; Abstract： Objective To analyze the typical clinical manifestations and imaging characteristics of renal pelvic carcinoma.Methods The clinical data in 69 cases of renal pelvic carcinoma verified by postoperative pathology in this department of the hospital from July 2013 to November 2016 were retrospectively summarized to analyze its typical clinical manifestations, imaging features and treatment regimens.Results All the cases were hospitalized due to hematuria and presented gross hematuria.The detectable rate of B-ultrasonic examination was 71.43%, which of computed tomography urography (CTU) was 84.21%and which of intravenous urography (IVU) + kidney ureter bladder (KUB) was 70.27%, which of retrograde pyelography (RP) was 90.32%, which of flexible ureteroscope (FU) was 91.67%, the pathological detection rate of biopsy tissue by this method was 58.33% and detection rate of fluorescence in situ hybridization was 79.07%.Sixty-nine cases all were performed the retroperitoneal laparoscopy combined with hypogastric incision renal