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胰肾联合移植：每位放射科医生都应了解的知识。

Pancreas-kidney transplantation: what every radiologist should know.

作者信息

Minoda Alexandre Makoto, Ferreira Fernando Dos Santos, Santos Karllos Diego Ribeiro, Leão Cristiano de Souza, Silva Eduardo Just da Costa E, de Melo-Leite Andréa Farias

机构信息

Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Recife, PE, Brasil.

Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.

出版信息

Radiol Bras. 2021 Jul-Aug;54(4):270-276. doi: 10.1590/0100-3984.2020.0108.

DOI:10.1590/0100-3984.2020.0108
PMID:34393296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8354193/
Abstract

Pancreas transplantation is a well-established treatment for patients with complicated diabetes mellitus and advanced renal failure. The most common procedure is simultaneous pancreas-kidney transplantation, in which the pancreas graft is positioned in the right pelvic region and the kidney graft is positioned in the left iliac fossa. Various imaging methods are used for the post-transplantation evaluation of the graft parenchyma and vascular anatomy, as well as for the identification of possible complications. As the number of cases increases, it is fundamental that radiologists understand the surgical procedure and the postoperative anatomy, as well as to recognize the possible postoperative complications and their imaging aspects, with the aim of providing the best guidance in the postoperative management of transplant recipients.

摘要

胰腺移植是治疗复杂糖尿病和晚期肾衰竭患者的一种成熟疗法。最常见的手术是胰肾联合移植，其中胰腺移植物置于右盆腔区域，肾移植物置于左髂窝。各种成像方法用于移植后对移植物实质和血管解剖结构的评估，以及用于识别可能的并发症。随着病例数量的增加，放射科医生了解手术过程和术后解剖结构，以及识别可能的术后并发症及其影像学表现至关重要，目的是为移植受者的术后管理提供最佳指导。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/43b5b7438fcc/rb-54-04-0270-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/3024a89b8dc0/rb-54-04-0270-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/f2ece5507644/rb-54-04-0270-g04.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/96e2c3d38c96/rb-54-04-0270-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/2b8ceaf88f0d/rb-54-04-0270-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/2403631c8eea/rb-54-04-0270-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/cfd7978ef801/rb-54-04-0270-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96c/8354193/059105618f8d/rb-54-04-0270-g11.jpg
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本文引用的文献

1
Imaging of Renal Transplant Complications throughout the Life of the Allograft: Comprehensive Multimodality Review.移植肾全程并发症的影像学表现：综合多模态评价
Radiographics. 2019 Sep-Oct;39(5):1327-1355. doi: 10.1148/rg.2019190096.
2
Comparison of Ipsilateral and Contralateral Simultaneous Pancreas and Kidney Transplantation: A Single-Center Analysis with 5-Year Outcome.同侧与对侧同期胰肾联合移植的比较：一项具有5年随访结果的单中心分析
Ann Transplant. 2019 May 24;24:298-303. doi: 10.12659/AOT.912633.
3
Pancreas transplantation: review.
胰腺移植：综述
Einstein (Sao Paulo). 2015 Apr-Jun;13(2):305-9. doi: 10.1590/S1679-45082015RW3163.
4
Pancreas transplant imaging: how I do it.胰腺移植影像学检查：我的做法。
Radiology. 2015 Apr;275(1):14-27. doi: 10.1148/radiol.15131585.
5
Simultaneous pancreas and kidney transplantation: current trends and future directions.胰肾联合移植：当前趋势与未来方向。
Curr Opin Organ Transplant. 2015 Feb;20(1):94-102. doi: 10.1097/MOT.0000000000000146.
6
Imaging of whole-organ pancreas transplants.全器官胰腺移植的影像学表现。
Radiographics. 2012 Mar-Apr;32(2):411-35. doi: 10.1148/rg.322115144.