Marincek B, Schlumpf R, Decurtins M, von Schulthess G K, Largiadèr F
Röntgendiagnostisches Zentralinstitut, Universitätsspital Zürich.
Radiologe. 1988 Dec;28(12):560-5.
Technical complications are relatively common after pancreatic transplantation, and most require radiological evaluation. Ultrasonography and computed tomography are helpful in the identification of peripancreatic and intra-abdominal fluid collections. Sterile fluid collections can be effectively treated by percutaneous catheter drainage, whereas most intra-abdominal infections require surgical intervention. Angiography is performed primarily for diagnosis of vascular thrombosis. Recent results suggest that magnetic resonance imaging may be a useful non-invasive method for the detection of pancreatic transplant rejection. Further imaging studies are needed to better define the development of progressive fibrotic atrophy in long-term functioning pancreatic transplants.
胰腺移植术后技术并发症相对常见,多数需要进行影像学评估。超声检查和计算机断层扫描有助于识别胰腺周围和腹腔内的积液。无菌性积液可通过经皮导管引流有效治疗,而大多数腹腔内感染则需要手术干预。血管造影主要用于诊断血管血栓形成。近期结果表明,磁共振成像可能是检测胰腺移植排斥反应的一种有用的非侵入性方法。需要进一步的影像学研究来更好地明确长期功能正常的胰腺移植中进行性纤维化萎缩的发展情况。