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target="_blank">合理用药</a> </div> </div> <div class="i2i2jyu4k" id="content"> <div id="i2i2jyu4k" class="pv_box m_p ov_hi"> <div id="i2i2jyu4k" class="bw_750 fl"> <h1 class="pv_title_2"><span id="i2i2jyu4k" class="site fr"><a href='/'>首页</a>><a href='/xywy/'>寻医·问药</a>><a href='/xywy/mjjt/'>名家健坛</a></span><span id="i2i2jyu4k" class="t" id="a1"><a href="/xywy/mjjt/">名家健坛</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">肾癌病人要重点保护肾功能</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2015年05月22日 14:10 | 来源：<a target="_blank">羊城晚报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p> 　　受访专家/中山大学附属第一医院泌尿外科主任丘少鹏教授</p> <p> </p> <p> 　　文/羊城晚报记者陈辉</p> <p> </p> <p> 　　肾癌是泌尿系统最常见的恶性肿瘤之一，约占肾肿瘤总数的75%-80%，同时肾癌也是泌尿系统致死率最高的肿瘤，占成人恶性肿瘤的2%-3%，且每年以2.5%左右的速度上升。与其他癌症相比，肾癌预后相对较好，但仍有20%-40%的肾癌患者手术后发生转移，还有部分患者出现肾衰竭。中山大学附属第一医院泌尿外科主任丘少鹏接受采访时介绍说，肾癌病人手术后的健康管理尤为重要，除了要督促患者定期随访，及早发现转移病灶外，还要比普通人更要注重避开生活细节中对肾功能的损伤，让另一侧没有病灶的肾能够持续工作终生。</p> <p> </p> <p> 　　病灶恶性度越高随访要越密丘少鹏教授介绍，肾癌对化疗、放疗都不敏感，因此手术是肾癌的首选治疗手段。正是同样的原因，肾癌患者手术后并不会像其他癌症患者那样接受放疗、化疗。但这并不意味着肾癌患者手术后就一了百了了。与其他癌症相比，肾癌预后相对较好，但仍有20%-40%的肾癌患者手术后发生转移，此术后的定期的随访尤其重要。</p> <p> </p> <p> 　　至于随访的频率与肾癌病灶的恶性度有密切关系。目前Fuhrman核分级系统是应用最为广泛的肾癌独立预后指标，可以分为1到4级，分级越高，复发风险越高，三年生存率和癌症特定生存率明显较低。分级高的患者建议每半年进行一次随访，分级低的患者建议每年进行一次随访，若连续几年随访都没有转移、复发迹象，可将随访的时间间隔延长。</p> <p> </p> <p> 　　这里要提醒的是，在肾癌患者中有大约七成人就诊时已经出现不同程度的扩散或转移，对于这部分患者则可选择合理的靶向药物治疗。</p> <p> </p> <p> <strong>　　呵护好残余肾的功能</strong></p> <p> </p> <p> 　　肾癌患者手术后要做的另一件重要工作就是呵护好残余肾的功能。丘少鹏教授解释说，我们人体有两个肾，其实仅靠一个肾就完全能维持一个人的肾脏排泄和分泌功能。肾癌患者有部分是切除了单侧肾的，这意味着他们完全可以依靠另一侧好肾来正常生活、工作的。如果一侧肾完全正常的话，仅靠这一个肾也能正常生活。但是他们需要特别小心?；なＳ嗟囊桓錾觯绻ㄒ皇Ｓ嗟囊桓錾霰；げ缓?，出现了损害就不会再有另外一个肾来代偿了。所以肾癌患者需定期检查尿常规和肾功能情况及进行肾脏B超。</p> <p> </p> <p> 　　丘少鹏教授介绍说，很多人感冒不舒服了，就自己去买药吃，吃了不见好就再买一种试试，这样也会增加肾损伤的风险。小小的感冒药为何会有这么大的威力？丘少鹏解释，“是药三分毒”，肾脏对药物是非常敏感的。人吃药后，药物通过血液循环到全身，最终大多要通过肾脏来排泄到体外。我们日常比较熟悉的感冒药多含有解热镇痛成分，具有不同程度的肾脏毒性，如果过量服用就可能会导致急性肾脏损伤，临床上经常能碰到因滥用感冒药而引起急性肾损伤甚至肾衰竭的病例。另外，广东人有服用中药的习惯，中药的肾毒性要特别引起肾癌患者的重视。目前已经明确可能带来肾损伤的中药成分有木通、防己和马兜铃酸等。</p> <p> </p> <p> 　　另外，肾癌患者要尽量避免高盐、高糖、高脂饮食，这种饮食习惯会增加患糖尿病、高血压等疾病风险，而这些疾病也会增加肾损害的风险。</p> <p> </p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：肾癌泌尿系统恶性肿瘤选择合理治疗</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2015-07-13/532753.shtml">权威专家详细解读肾癌的7个知识</a></li> <li><a target="_blank" href="/c/2018-02-13/1961369.shtml">看小便留意肾癌征兆</a></li> <li><a target="_blank" 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