Stojković D, Pavlović S, Velimirović D, Sindjić M
Institute of Urology and Nephrology, Clinical Centre of Serbia, Belgrade.
Srp Arh Celok Lek. 1996;124 Suppl 1:175-7.
Between October 1987 and October 1992 110 biopsies of transplanted kidney. Histologic examination showed 36 cases of acute rejection (Ac), 19 cases of chronic rejection (Chr), 16 cases of acute tubular necrosis (ATN) and 39 cases of cyclosporin nephrotoxicity. Sonographic characteristics as: hyperechogenicity of the cortex, hypoechogenicity of central pyelovascular zone, large and sonolucent pyramids, spherical configuration of renal allograft, were coelating with histologic and relevant clinic sings of disease. The results show statistically significant correlation with sonographic sings of acute rejection and relevant histologic and clinical findings. There was no correlations in other groups of diseases. These results confirm ultrasound as the primary imaging tool and an invaluable diagnostic modality in the renal transplant patient.
1987年10月至1992年10月期间，对110例移植肾进行了活检。组织学检查显示，急性排斥反应（Ac）36例，慢性排斥反应（Chr）19例，急性肾小管坏死（ATN）16例，环孢素肾毒性39例。超声特征为：皮质高回声、肾盂血管中心区低回声、肾锥体大且无回声、移植肾呈球形，这些与疾病的组织学及相关临床体征相关。结果显示，急性排斥反应的超声体征与相关组织学及临床发现之间存在统计学显著相关性。其他疾病组之间无相关性。这些结果证实超声是肾移植患者的主要影像学工具和一种非常有价值的诊断方式。
