| 超声造影在供肾质量评估中的应用 |
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| 引用本文： | 董尚鑫, 施辉波, 赵圆圆, 等. 超声造影在供肾质量评估中的应用[J]. 器官移植, 2022, 13(5): 678-682. doi: 10.3969/j.issn.1674-7445.2022.05.020 |
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| 作者姓名： | 董尚鑫 施辉波 赵圆圆 李开艳 罗鸿昌 张波 陈知水 蒋继贫 |
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| 作者单位： | 430030 武汉，华中科技大学同济医学院附属同济医院器官移植研究所 器官移植教育部重点实验室 国家卫生健康委员会器官移植重点实验室 中国医学科学院器官移植重点实验室(董尚鑫、施辉波、赵圆圆、张波、陈知水、蒋继贫); 华中科技大学同济医学院附属同济医院超声影像科(李开艳、罗鸿昌) |
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| 基金项目： | 四川省教育厅2020年度社会科学项目YF20-Y05 |
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| 摘 要： | 近年来，我国公民逝世后器官捐献数量不断增加，但每年仍有大量的终末期肾病患者等待肾移植，供需不平衡仍是目前影响临床肾移植工作开展的主要问题之一。因此，准确评估供肾质量，充分利用扩大标准供肾具有十分重要的临床意义。超声造影因其安全、便携、实时、可量化等特点，已逐步应用于各类实体器官的检测，其在供肾质量评估方面也具有良好的应用前景。本文将从当前供肾评估方法的优势与局限性及超声造影应用于供肾评估的现状及优势进行综述，探讨超声造影在供肾质量评估中的应用前景，增加供肾评估的方法和准确性，为合理利用扩大标准供肾提供参考。
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| 关 键 词： | 超声造影 肾移植 供肾评估 扩大标准供者 边缘供肾 供肾评分系统 活组织检查 低温机械灌注 |
| 收稿时间： | 2022-04-19 |
Application of contrast-enhanced ultrasound in evaluation of donor kidney quality |
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| Dong Shangxin, Shi Huibo, Zhao Yuanyuan, et al. Application of contrast-enhanced ultrasound in evaluation of donor kidney quality[J]. ORGAN TRANSPLANTATION, 2022, 13(5): 678-682. doi: 10.3969/j.issn.1674-7445.2022.05.020 |
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| Authors: | Dong Shangxin Shi Huibo Zhao Yuanyuan Li Kaiyan Luo Hongchang Zhang Bo Chen Zhishui Jiang Jipin |
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| Affiliation: | Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Key Laboratory of Organ Transplantation of Ministry of Education, Key Laboratory of Organ Transplantation of National Health Commission of China, Key Laboratory of Organ Transplantation of Chinese Academy of Medical Sciences, Wuhan 430030, China |
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| Abstract: | In recent years, although the quantity of organ donation after citizen's death has been constantly increased, a large number of patients with end-stage renal diseases are waiting for kidney transplantation every year. The imbalance between donor and recipient is still one of the main problems affecting kidney transplantation in clinical practice. Therefore, it is of clinical significance to accurately evaluate the quality of donor kidney and fully utilize the expanded criteria donor kidney. Contrast-enhanced ultrasound has been gradually applied in the detection of multiple solid organs due to its safety, portability, real-time detection, quantification and other characteristics, and it also has promising application prospect in the evaluation of donor kidney quality. In this article, the advantages and limitations of current evaluation methods for donor kidney and current status and advantages of contrast-enhanced ultrasound in donor kidney evaluation were reviewed, and the application prospect of contrast-enhanced ultrasound in the evaluation of donor kidney quality was discussed, aiming to increase the methods and enhance the accuracy for donor kidney evaluation, and provide reference for rational use of expanded criteria donor kidney. |
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| Keywords: | Contrast-enhanced ultrasonography Kidney transplantation Donor kidney evaluation Expanded criteria donor Marginal donor kidney Donor kidney scoring system Biopsy Hypothermic mechanical perfusion |
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