Wernecke K, Heckemann R, Rehwald U, Ringert R H
Rofo. 1983 Jun;138(6):740-3. doi: 10.1055/s-2008-1055820.
The indications for, and technique of ultrasound-guided antegrade pyelography of renal transplants are illustrated by eight patients. Because of the detailed anatomical information which the antegrade method provides, it is superior to other diagnostic methods for the investigation of ureteric obstruction or fistulae. The severity of renal pelvis dilatation as shown by sonography must not be taken as a criterian for the grade of obstruction, since transplants may show dilated collecting systems, even in the absence of obstruction. In our view, real time sonography with a suitable probe provides the best means of achieving successful puncture of the renal pelvis. The combination of ultrasound-guided puncture and radiological contrast examination of the ureter is the best diagnostic method available and lead, in all eight cases, to immediate and definitive treatment.
八例患者展示了超声引导下肾移植顺行肾盂造影的适应症及技术。由于顺行法能提供详细的解剖信息，在输尿管梗阻或瘘管的检查中，它优于其他诊断方法。超声检查显示的肾盂扩张程度，不能作为梗阻程度的标准，因为即使没有梗阻，移植肾也可能出现集合系统扩张。我们认为，使用合适的探头进行实时超声检查是成功穿刺肾盂的最佳方法。超声引导穿刺与输尿管放射学造影检查相结合，是目前最佳的诊断方法，在所有八例病例中，均能实现立即且明确的治疗。
