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放射性同位素研究在移植后阶段急性并发症诊断中的应用

Radioisotope studies in the diagnosis of acute complications in the post-transplantation stage.

作者信息

Lopatkin N A, Gleizer Y Y, Jarmolinskij J S, Darenkov A F

出版信息

Int Urol Nephrol. 1980;12(2):169-80. doi: 10.1007/BF02089357.

Abstract

The possibilities of radionuclide investigations with various labelled compounds (125I- and 131I-hippuran, 99mTc-albumin, 99mTc-DTPA, 99mTc-citrate, 99mTc-calcium gluconate) in the diagnosis of acute complications of the post-transplantation period are discussed on the basis of observations in 105 recipients in whom acute complications arising in different stages of the post-transplantation period required diagnostic differentiation between various syndromes, i.e. renal arterial or venous thrombosis, ureteral occlusion, failure of ureterocystoanastomosis, acute renal failure, infarct, carbuncle or abscess of the transplant, acute rejection, rupture of the transplanted kidney. The sequence of radionuclide studies in the individual syndromes by means of the gamma-camera and computer processing is set down and the value of these methods in the diagnosis of complications arising in the early or late stage of the post-transplantation period are discussed.

摘要

基于对105例接受移植者的观察,讨论了使用各种标记化合物(125I和131I马尿酸、99mTc白蛋白、99mTc二乙三胺五乙酸、99mTc柠檬酸盐、99mTc葡萄糖酸钙)进行放射性核素检查在诊断移植后急性期并发症方面的可能性。这些接受移植者在移植后不同阶段出现的急性并发症需要对各种综合征进行诊断鉴别,即肾动脉或静脉血栓形成、输尿管梗阻、输尿管膀胱吻合失败、急性肾衰竭、梗死、移植肾痈或脓肿、急性排斥反应、移植肾破裂。阐述了通过γ相机和计算机处理对各个综合征进行放射性核素研究的顺序,并讨论了这些方法在诊断移植后早期或晚期并发症中的价值。

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