超声造影在移植肾假性动脉瘤应用中的价值  

Value of contrast-enhanced ultrasound in the diagnosis of renal transplant pseudoaneurysm

作　　者：朱建平[1] 蒋彦彦[1] 洪峻峰[1] 

机构地区：[1]福州总医院超声诊断科,福州市350025

出　　处：《临床超声医学杂志》2008年第6期409-410,共2页Journal of Clinical Ultrasound in Medicine

基　　金：福建省科技计划项目(2006Y0025)

摘　　要：目的探讨超声造影在移植。肾假性动脉瘤中的应用价值。方法对3例移植。肾假性动脉瘤患者的假性动脉瘤进行了超声造影，并对造影前后声像图进行了观察与分析。结果移植。肾假性动脉瘤瘤腔内造影剂到达时间为15～21s，完全充满时间为25～78s，可见载瘤血管与充满造影剂的瘤腔有通道相连，1例合并血栓，可见瘤腔内造影后充盈缺损。3例全部经手术证实。结论超声造影为临床早期诊断移植肾假性动脉瘤及选择治疗方案提供了可靠依据，是一项很有发展前途的新方法。Objective To investigate the value of contrast - enhanced ultrasound （CEUS） in the diagnosis of renal transplant pseudoaneurysm （PA）. Methods Three patients with suspected renal transplant pseudoaneurysm were observed and analyzed using contrast- enhanced ultrasound. Results The arrival time of the contrast agent in the renal transplant pseudoaneurysm was 15 - 21s, and the peak enhancement time was 25 - 78 s. There was communication between false lumen and artery. Thrombi was present in a case with contrast fining defect in the lumen. Three cases were confirmed by operation. Conclusion CEUS is a new promising method in the early diagnosis of renal transplant PA and selection of treatment regimen.

关 键 词：超声造影 移植肾 假性动脉瘤 

分 类 号：R617[医药卫生—外科学] R735.704[医药卫生—临床医学]