Nyman U, Hildell J, Husberg B, Molde A, Treugut H
Rofo. 1982 Feb;136(2):138-43. doi: 10.1055/s-2008-1056015.
Computed tomography was used in a consecutive series of 74 transplantations in the diagnosis of complications to renal allograft surgery. Thirty-nine peritransplant fluid collections were demonstrated, 13 of these were subjected to surgery. A diagnosis of the specific nature of the fluid collection was possible in cases of urine leakage and fresh hematomas. The method was sensitive in defining the size of the renal pelvis though differentiation between postrenal obstruction and large non-obstructed collecting system was not always possible. The cause of postrenal obstruction could be identified in 5 patients out of 10. Renal infarctions were diagnosed in 8 patients. Computed tomography seems to be a highly accurate method in the diagnosis of complications to renal allograft surgery. The method can be used independent of transplant function and the use of contrast medium is necessary only to verify urine leakage and infarction.
对连续74例肾移植患者进行了计算机断层扫描，以诊断肾移植手术的并发症。共发现39例移植周围液体积聚，其中13例接受了手术。对于尿液漏出和新鲜血肿病例，可以诊断出液体积聚的具体性质。该方法在确定肾盂大小方面很敏感，尽管肾后梗阻与非梗阻性大集合系统之间的鉴别并不总是可行的。10例患者中有5例可确定肾后梗阻的原因。8例患者被诊断为肾梗死。计算机断层扫描似乎是诊断肾移植手术并发症的一种高度准确的方法。该方法的使用与移植功能无关，仅在证实尿液漏出和梗死时才需要使用造影剂。
