SonoVue超声造影在移植肾周血肿临床诊断中的价值  

Ultrasound contrast imaging SonoVue for clinical diagnosis of perirenal hematoma following renal transplantation

作　　者：邢晋放[1] 杜联芳[1] 李凡[1] 何颖倩[1] 张会萍[1] 

机构地区：[1]上海交通大学附属第一人民医院超声影像科,上海市200080

出　　处：《中国组织工程研究与临床康复》2009年第18期3413-3416,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：上海市卫生局科研项目(2008189)~~

摘　　要：背景：常规超声对部分移植肾肾周血肿难以作出明确诊断或者漏诊，SonoVue为新一代超声对比剂，易于对血肿区域作出明确诊断。目的：利用SonoVue超声造影技术对常规超声，包括二维和彩色多普勒超声，难以明确诊断的移植肾肾周血肿进行检查，验证SonoVue超声造影技术在移植肾肾周血肿诊断方面的临床价值。设计、时间及地点：回顾性病例分析，于2006—01／2008—12上海交通大学附属第一人民医院超声影像科完成。对象：就诊的同种异体移植肾患者6例，男4例，女2例，年龄20～65岁。方法：患者取平卧位，常规二维、彩色多普勒超声检查结束后启动超声造影模式，选取清晰显示二维超声可疑血肿区和部分或全部移植肾的切面进行SonoVue超声造影。临床怀疑但二维超声不能明确诊断肾周血肿的移植肾患者，选取清晰显示移植肾四周的切面，造影过程中可以扇形或平行扫查对移植肾4周进行全面观察。对比剂推注即刻开始计时，持续观察并同时储存图像，回放图像分析。主要观察指标：移植肾及周围区域超声造影成像，监测对比剂回声的灌注情况。结果：6例移植肾患者均成功进行超声造影检查，检查结束后均能立刻得出明确诊断；4例诊断为移植肾肾周血肿，其中2例经临床引流治疗证实，2例临床随访直至血肿吸收：2例诊断为无移植。肾肾周血肿，并经半年临床随访确诊。结论：利用SonoVue的超声造影成像，可以对常规超声难以明确诊断的移植肾肾周血肿迅速作出明确诊断，是对常规超声的有益补充，尤其在“明确诊断常规超声可疑的肾周血肿”以及“避免常规超声漏诊”两方面具有优势。BACKGROUND： Routine ultrasonographies cannot final diagnosis or misdiagnosis the perirenal hematoma of transplanted kidneys. As a kind of ultrasound contrast agent, SonoVue is easy to diagnosis the perirenal hematoma clearly. OBJECTIVE： To examine the transplant kidney perirenal hematoma, which cannot definite diagnosed by routine ultrasonography （including two-dimension and color Doppler） by SonoVue ultrasound contrast imaging. Further more, to verify the clinical value of SonoVue on diagnosis of transplant kidney perirenal hematoma. DESIGN,TIME AND SETTING： A retrospective case analysis was perform ed at the Department of Ultrasonography, First People＇s Hospital Affiliated Shanghai Jiao Tong University from January 2006 to December 2006. PARTICIPANTS： Six patients received allogeneic kidney transplantation, including 4 male and 2 female, with aged 20-65 years. METHODS： Patients were placed as supine position, and subsequently evaluated by SonoVue ultrasound contrast imaging after two-dimension and color Doppler imaging. Patients were suspected perirenal hematoma by routine ultrasonography was selected cross section of transplanted kidney, fladellum or parallel scanning was performed in the process of angiography. The images were stored real-timely and analyzed by review. MAIN OUTCOME MEASURES： Ultrasonography of transplanted kidney and surrounding tissues, as well as blood perfusion. RESULTS： All six patients were successfully examined with ultrasound contrast imaging. The definite diagnosis was worked out after examining of ultrasound contrast imaging. Four cases were diagnosed as perirenal hematoma, two of which were diagnosed by drainage treatment; the other two were followed up until hematoma absorption. All diagnosis was confirmed by clinic. CONCLUSION： The transplant kidney perirenal hematoma can be diagnosed definitely and rapidly by ultrasound contrast imaging with SonoVue. The ultrasound contrast imaging with SonoVue is helpful supplement to routine ultrasonography,

关 键 词：肾移植 肾周血肿 超声检查 超声造影 SONOVUE 器官移植 

分 类 号：R617[医药卫生—外科学]