移植肾受者的影像学评估。

Imaging evaluation of kidney transplant recipients.

机构信息

Division of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.

出版信息

Semin Nephrol. 2011 May;31(3):259-71. doi: 10.1016/j.semnephrol.2011.05.005.

DOI:10.1016/j.semnephrol.2011.05.005

Abstract

Renal transplantation is nowadays accepted as the treatment of choice for patients with end-stage renal disease. However, despite progress in immunosuppression and surgical techniques, various complications still can occur. Complications vary from vascular disorders and urologic diseases to parenchymal and immunologically related complications. The clinician evaluating the recipient with graft dysfunction has the option of choosing among a variety of imaging modalities including ultrasonography, nuclear medicine, computed tomography, and magnetic resonance imaging to start or continue the diagnostic work-up. In this article, we discuss the evaluation of the kidney transplant recipient using these imaging procedures, emphasizing the clinical diagnostic utility and role of each modality.

摘要

肾移植目前被认为是终末期肾病患者的首选治疗方法。然而，尽管在免疫抑制和手术技术方面取得了进展，但各种并发症仍可能发生。并发症包括血管疾病和泌尿科疾病以及实质和免疫相关的并发症。评估移植肾功能障碍患者的临床医生可以选择多种成像方式，包括超声、核医学、计算机断层扫描和磁共振成像，以开始或继续诊断工作。本文讨论了使用这些成像程序评估肾移植受者，强调了每种方式的临床诊断效用和作用。