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目的探讨输尿管转移癌的诊断、治疗的方法和疗效。方法将2007年8月～2009年12月收治的输尿管转移癌患者1例。经胃镜、输尿管镜检查确诊为胃癌输尿管转移,给予放置双J管、肾穿刺造瘘等措施解除输尿管梗阻、缓解肾积水、改善肾功能。并配合化疗、免疫治疗、中药治疗以及其他对症治疗延长生存时间、减轻痛苦。结果留置双J管初期肾积水减轻,1月后肾积水再次加重,行肾穿刺造瘘引流。术后11月死亡。结论胃癌发生输尿管转移较少见,多数已无手术条件,可行输尿管镜留置双J管、肾造瘘治疗,配合化疗、免疫治疗、中药治疗等措施减轻痛苦、延长生存时间。
Objective To investigate the diagnosis and treatment of ureteral carcinoma and its efficacy. Methods One patient with ureteral metastasis who had been treated from August 2007 to December 2009 was enrolled. Gastroscopy, ureteroscopy diagnosed as gastric cancer ureter metastasis, give placed double J tube, renal puncture fistula and other measures to relieve ureteral obstruction, relieve hydronephrosis, improve renal function. And with chemotherapy, immunotherapy, traditional Chinese medicine treatment and other symptomatic treatment to extend the survival time and reduce pain. Results indwelling double J tube initial hydronephrosis alleviate, January after hydronephrosis aggravate again, renal puncture fistula drainage. After the death in November. Conclusions Ureteral metastasis of gastric cancer is rare, most of which have no operative conditions. It is feasible to treat ureteroscopy with double J-tube and nephrostomy in combination with chemotherapy, immunotherapy and traditional Chinese medicine to relieve the pain and extend the survival time.