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肾移植的泌尿系统及内科并发症

[Urological and medical complications of renal transplant].

作者信息

Auriol J

机构信息

Service de Radiologie, Hôpital de Rangueil, 1 avenue du Professeur-Jean-Poulhès, 31059 Toulouse cedex 09, France. j

出版信息

J Radiol. 2011 Apr;92(4):336-42. doi: 10.1016/j.jradio.2011.03.013. Epub 2011 Apr 21.

Abstract

Medical complications from renal transplant (acute tubular necrosis, acute rejection, chronic rejection) are mainly imaged with Doppler ultrasound to first exclude vascular or urological causes for renal function impairment. Once these causes are excluded, imaging features are nonspecific and imaging is mainly used for follow-up and biopsy remains essential. Urological complications include postsurgical collections, urinary fistulas, obstructive uropathy, vesicoureteric reflux, infections and malignancies. Imaging plays a leading role in the diagnostic and therapeutic management of these complications.

摘要

肾移植的医学并发症(急性肾小管坏死、急性排斥反应、慢性排斥反应)主要通过多普勒超声成像,首先排除导致肾功能损害的血管或泌尿系统原因。一旦排除这些原因,成像特征是非特异性的,成像主要用于随访,而活检仍然至关重要。泌尿系统并发症包括术后积液、尿瘘、梗阻性尿路病、膀胱输尿管反流、感染和恶性肿瘤。成像在这些并发症的诊断和治疗管理中起主导作用。

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