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目的探讨我国公开发表的肾移植术后肾癌的流行病学特征、临床特点及危险因素。方法通过我国万方数据知识服务平台和中国知网平台,以“肾移植”和“肾癌”为关键词进行检索,根据其中13片文献,结合我院诊治的1例肾移植术后自体肾癌患者资料及国内外文献分析肾移植术后肾癌的发病率,发病特点及危险因素。结果共筛选1978年至2013年之间受者肾移植患者20463例,其后原肾癌病例29例,发病率约为0.14%,北方发病率0.18%,南方0.10%,北方发病率高于南方。结论我国肾移植术后肾癌发病率明显高于国外,是多种因素的作用结果;肾移植术后肾癌在体检时被发现;肾移植术后肾癌病理分期为较早期,预后较好。
Objective To investigate the epidemiological characteristics, clinical features and risk factors of renal carcinoma after kidney transplantation published in China. Methods According to the literature of 13 articles and 1 case of renal transplantation diagnosed and treated in our hospital, the key words “kidney transplantation” and “kidney cancer” were searched through China’s Wanfang data knowledge service platform and CNKI platform. Postoperative renal cell carcinoma patients and domestic and foreign literature analysis of renal cell carcinoma after renal transplantation morbidity, incidence characteristics and risk factors. Results A total of 20,463 renal transplant recipients were recruited between 1978 and 2013, followed by 29 cases of primary renal cancer with a morbidity of 0.14%, an incidence of 0.18% in the north and 0.10% in the south, and a higher incidence in the north than in the south . Conclusions The incidence of renal cancer after renal transplantation in our country is obviously higher than that in other countries. It is the result of many factors. Kidney cancer after renal transplantation is detected at physical examination. The pathological stage of renal cell carcinoma after kidney transplantation is earlier and the prognosis is better .