胰肾一期联合移植术后影像学检查  

Imaging Examinations after Operation of Simultaneous Pancreas-Kidney Transplantation

作　　者：戚跃勇[1] 戴书华[1] 邹利光[1] 谭开彬[2] 冯嘉渝[3] 黄岚[4] 梁平[5] 高云华[2] 杨彤翰[5] 

机构地区：[1]第三军医大学附属新桥医院放射科,重庆400037 [2]第三军医大学附属新桥医院超声诊断科,重庆400037 [3]第三军医大学附属新桥医院泌尿科,重庆400037 [4]第三军医大学附属新桥医院心内科,重庆400037 [5]第三军医大学附属新桥医院肝胆科,重庆400037

出　　处：《中国医学影像技术》2003年第7期899-901,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨胰肾一期联合移植 (SPK)术后影像学检查的临床价值。方法　于 1998年 12月至 2 0 0 0年 1月期间的 5例SPK术后的影像学检查中 ,5例均行胸片及彩色多普勒血流图 (CDFI)检查 ,其中 2例行数字减影血管造影检查。结果　在SPK术后影像学检查的阳性结果中 ,胸片诊断为肺部感染者 2例 ,CDFI诊断急性排异反应 2例 ,DSA诊断移植胰腺的供血动脉内血栓者 1例。 4例患者已健康存活了 2年左右 ,其中 1例因移植胰腺血管内血栓形成 ,于术后 3 3天切除移植胰腺。 1例因排斥反应于术后第 47天死于急性心功能衰竭。结论　胸片与CDFI检查是SPK术后并发症的非侵袭性的首选诊断方法 ,DSA检查是SPK术后血管并发症合理而可靠的诊疗手段。Objective To explore the clinical value of imaging examinations after operation of simultaneous pancreas-kidney transplantation (SPK).Methods The SPK was performed in 5 cases from Dec 1998 to Jan 2000 in our hospital.The chest X-ray and color Doppler flow imaging (CDFI) were used to study complications following SPK in every case,and digital subtraction angiography (DSA) in 2 cases.Results In the 5 cases,the positive imaging appearances were diagnosed as pulmonary infection in 2 cases by chest X-rays,acute rejection in 2 cases by CDFI,thrombosis of the resection of pancreas in one case by DSA.Four patients have healthily survived about 2 years.Among the 4 cases,one patient's pancreas graft exsected on the 33rd day of postoperation because of thrombosis,but the renal function was normal.One died of complicated acute cardiac failure on the 47th day of postoperation during acute rejection episodes.Conclusion Radiography and CDFI are the best non-invasive methods in the evaluation of patients with suspected complications following SPK,while DSA is one of the ideal and reliable methods used to diagnose and to guide the interventional treatment for postoperative vascular complications in SPK recipients.

关 键 词：胰腺 肾脏 移植 彩色多普勒血流图 数字减影血管造影 

分 类 号：R617[医药卫生—外科学] R445[医药卫生—临床医学]