Diederich S, Scadeng M, Dennis C, Steward S, Flower C D
Department of Radiology, Papworth Hospital, Papworth Everard, Cambridge, United Kingdom.
Rofo. 1994 Dec;161(6):475-83. doi: 10.1055/s-2008-1032572.
Lung transplantation (single-lung transplantation, double-lung transplantation or heart-lung transplantation) may be the only effective therapy in end-stage pulmonary disease. At specialized institutions it has been performed on a routine basis for some years now. Diagnostic imaging plays an important role in the assessment of potential recipients as well as for the postoperative evaluation after transplantation. The aim of this review is to describe the role of imaging procedures of the chest in these patients and to demonstrate characteristic plain radiographic and computed tomographic findings. Normal postoperative findings specific to lung transplant patients as well as typical complications are presented. These include reimplantation response, acute and chronic rejection, and the typical bacterial, viral, and fungal infections as well as the sequelae of transbronchial biopsy.
肺移植(单肺移植、双肺移植或心肺移植)可能是终末期肺部疾病唯一有效的治疗方法。在一些专业机构,肺移植已常规开展数年。诊断性影像学在评估潜在受者以及移植术后评估中发挥着重要作用。本综述的目的是描述胸部影像学检查在这些患者中的作用,并展示特征性的X线平片和计算机断层扫描表现。介绍了肺移植患者特有的正常术后表现以及典型并发症。这些包括再植反应、急性和慢性排斥反应、典型的细菌、病毒和真菌感染以及经支气管活检的后遗症。