彩色多普勒血流显像及多普勒能量图在移植肾排斥反应中的应用  

Evaluation of color Doppler ultrasonography in the perfusion of renal allografts

作　　者：丁生珍[1] 邓又斌[1] 杨惠兰[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院超声科,武汉现在430030 [2]同济医学院附属梨园医院超声科

出　　处：《中华器官移植杂志》2005年第8期464-466,共3页Chinese Journal of Organ Transplantation

摘　　要：目的探讨彩色多普勒血流显像及多普勒能量图在检测移植肾排斥反应中的应用价值。方法对46例肾移植受者术后进行了彩色多普勒血流显像及多普勒能量图检查。根据检测结果将46例肾移植术后受者分为3组,移植肾正常组(30例)、急性排斥组(9例)和慢性排斥组(7例),并与超声引导下肾组织穿刺的病理检查结果进行比较。结果16例急、慢性排斥反应的患者移植肾动脉搏动指数及阻力指数均高于移植肾正常组;急性排斥组肾脏长径及肾皮质厚度明显大于移植肾正常组;慢性排斥反应时肾皮质厚度、肾脏长径、宽径均小于移植肾正常组。结论彩色多普勒血流显像及多普勒能量图对移植肾血流灌注及排斥反应判断有独特的优点,搏动指数、阻力指数以及肾皮质厚度可作为有无移植肾排斥的指标之一。Objective To explore the value ot color Doppler ultrasonography in the blood perfusion of renal allografts. Methods Forty-six patients with renal allografts with age ranged from 26-58 years, including 16 cases of renal transplantation rejections, were examed by using color Doppler flow imaging （CDFI） and power Doppler imaging （PDI）. Renal blood flow perfusion, pulse index （PI） and resistance index （RI） were observed. The thickness of the renal cortex and kidney＇s volume was measured. The complications were diagnosed by renal tissue biopsy. Results In 16 patients （34. 78%） with renal rejections, renal arterial RI and PI were increased as compared with normal renal allografts. In the patients with acute rejection, the long axis and the thickness of the renal cortex were significantly increased as compared with normal renal allografts. In the patients with chronic rejection, the long axis, width and the thickness of the renal cortex were decreased as compared with normal renal allografts. Conclusion CDFI and PDI were valuable for monitoring normal renal transplantation and complication such as rejection.

关 键 词：彩色多普勒 血流显像 多普勒能量图 移植肾 排斥反应 

分 类 号：R699.2[医药卫生—泌尿科学]