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目的探索肝癌肝移植术后复发转移的影像学诊断方法。方法对18例接受肝脏移植的肝癌患者,术后定期行肝脏B超及CT、胸部X-Ray、全身骨扫描(ECT)检查,同时定期监测AFP定量变化情况,并对上述各种影像学检查方法对复发转移的诊断价值作出评价。结果12例患者术后出现肝内复发和(或)肝外转移,其中肝内复发7例,肺转移5例,骨转移3例,脑、肾转移各1例。全部复发转移病灶均被B超、CT、X-Ray或ECT及时诊断。结论B超、CT、X-Ray、ECT检查手段并结合病史资料及AFP定量分析,可以对肝癌肝移植术后复发转移作出及时诊断。
Objective To explore the imaging diagnosis of liver cancer recurrence and metastasis after liver transplantation. Methods 18 patients with liver cancer who underwent liver transplantation underwent liver biopsy and CT, chest X-ray and whole-body bone scan (ECT). The quantitative changes of AFP were monitored regularly. Methods The diagnostic value of recurrence and metastasis was evaluated. Results In 12 patients, intrahepatic recurrence and / or extrahepatic metastasis occurred. Among them, 7 were liver recurrence, 5 were lung metastasis, 3 were bone metastasis, and 1 was brain and kidney metastasis. All the recurrence and metastasis were diagnosed by B ultrasound, CT, X-ray or ECT. Conclusion B-ultrasound, CT, X-Ray, ECT examination combined with historical data and quantitative analysis of AFP can make a timely diagnosis of liver cancer recurrence and metastasis after liver transplantation.