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目的 探讨彩超在肾移植术后并发肝脏恶性肿瘤监测中的应用价值。 方法 应用 Acuson12 8XP彩色多普勒超声诊断仪 ,对在我院行异体肾移植手术的终末期尿毒症患者 12 0 0例进行规律随访。 结果 发现 17例恶性肿瘤 ,其中肝癌 7例 ,占 4 1.17%。 5例肿块单发 ,2例多发 ;肿块最大 10 cm× 10 cm,最小 2 .3cm× 2 .1cm。其中 6例手术病理证实 ,1例肝活检证实。 结论 对移植肾术后患者 ,首选彩超随访肝脏变化 ,能早期发现肿瘤 ,为临床选择治疗方案提供时机 ,并提高换肾后发生恶性肿瘤患者的存活率
Objective To investigate the value of color Doppler ultrasonography in the monitoring of liver malignancy after renal transplantation. Methods Acuson 12 8XP color Doppler ultrasound diagnostic apparatus, in our hospital allogeneic kidney transplantation in patients with end-stage uremia patients follow-up regular. The results found 17 cases of malignant tumors, of which 7 cases of liver cancer, accounting for 4 1.17%. 5 cases of single mass, 2 cases of multiple; lumps up to 10 cm × 10 cm, the smallest 2. 3cm × 2 .1cm. Six cases were confirmed by pathology and one by liver biopsy. Conclusion For patients after transplanted kidney surgery, the first choice of color Doppler ultrasonography follow-up liver changes, early detection of the tumor, to provide the opportunity for clinical options and improve the survival rate of patients with malignant tumor after kidney replacement