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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 应用彩色多普勒对 12 0 0例在我院行异体肾移植手术的终末期尿毒症患者 ,进行了规律随访。结果 发现 17例恶性肿瘤 ,其中肝癌 7例 ,占4 1.17%。 5例肿块为单发 ,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 The follow-up of 120 patients with end-stage uremia who underwent renal transplantation in our hospital was performed with color Doppler. 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, the timing for the clinical choice of treatment options and improve the survival rate of patients with malignant tumors after kidney replacement.