肾移植术后并发症的放射学诊疗价值

目的 探讨肾移植术后并发症的放射学诊疗价值。方法 由2名有经验的医生经双盲法对165例肾移植术后并发症的放射学资料进行回顾性分析。结果 肾移植术后肺部感染者158例，其中主要的病原菌依次为细菌、真菌和病毒等。影像学诊断为正常者30例(19．0％)，诊断为肺纹理增多增粗模糊者44例(27．8％)，肺部感染者84例(53．2％)。DSA造影诊断肾移植术后肾动脉狭窄5例，胰肾一期联合移植术后移植胰腺血管内血栓形成l例。结论 胸片与CT扫描有助于肾移植术后肺部感染的临床诊断，胸片是其首选的影像学检查方法。DSA检查有利于明确肾移植术后血管并发症的诊断。

Evaluation of Radiologic Diagnosis on Complications after Kidney Transplantation

Objective To explore the value of imaging diagnosis on complications after kidney transplantation. Methods The radiologic appearances of 165 patients with postoperative complications were reviewed in a double blind method by two experienced radiologists. Results In the 158 patients with postoperative pulmonary infections, the main etiological causes according to their frequency were bacteria,fungus,virus,and so on. The postoperative pulmonary infections of the patients with renal transplantation were diagnosed as normal(28,17 7%),increased lung markings(44,27 8%) and pulmonary infection(84,53 2%) by chest X-rays and CT. The renal artery stenosis after kidney transplantation was diagnosed in 5 cases, and thrombosis of pancreas blood vessel after operation of simultaneous pancreas-kidney transplantation was diagnosed in 1 case by DSA. Conclusions Radiography and CT scan are very useful in the clinical diagnosis of postoperative pulmonary infections in the patients with renal transplantation,and radiography should be the first choice for the imaging diagnosis. DSA is one of the ideal and reliable measns to diagnose the postoperative vascular complications in kidney transplant recipients.