Pfannenberg C, Stobbe G, Dewey C, Schöpke W D, Sydow K, Althaus P
Radiol Diagn (Berl). 1989;30(4):417-28.
Despite the continuously increasing number of successfully transplanted kidneys, graft and patient are still "threatened" by several postoperative complications as acute and chronic rejection, acute tubular necrosis, urologic and vascular complications and disorders caused by immunosuppressive medication. An early and safe detection of these conditions is of high clinical importance and a challenge to diagnostic imaging. All radiologic methods and nuclear medicine have their value for transplantation diagnostics, but in recent years a trend to noninvasive methods with no contrast media and little discomfort to the patient is clearly visible (sonography, magnetic resonance). Rational diagnostic strategies for various conditions after renal transplantation are described.
尽管成功移植的肾脏数量不断增加，但移植物和患者仍受到多种术后并发症的“威胁”，如急慢性排斥反应、急性肾小管坏死、泌尿系统和血管并发症以及免疫抑制药物引起的疾病。对这些情况进行早期且安全的检测具有高度的临床重要性，也是诊断成像面临的一项挑战。所有放射学方法和核医学在移植诊断中都有其价值，但近年来，明显可见一种向无创方法发展的趋势，即无需使用造影剂且给患者带来的不适较小（超声检查、磁共振成像）。本文描述了肾移植后各种情况的合理诊断策略。
