彩色多普勒超声诊断同种异体肾移植后急性排斥反应的价值

Yang Bai, Guang-hong Han, Ying Sun
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引用次数: 0

摘要

本研究的目的是探讨超声在诊断同种异体肾移植后急性排斥反应中的作用。将32例急性排斥反应的肾移植患者纳入排斥反应组,选择32例与年龄、性别、体重相匹配的无急性排斥反应的肾移植患者组成非排斥反应组进行对比研究。最后,我们发现肾体积、皮质回声、阻力指数(RI)和舒张末期速度(EDV)在两组间差异有统计学意义(P<0.05)。急性排斥反应患者与对症治疗后无明显改善的患者在皮质厚度、阻力指数、灌注流量等指标上差异有统计学意义(P<0.05)。因此,彩色多普勒超声在诊断异体肾移植术后急性排斥反应,特别是评价急性排斥治疗效果方面具有较高的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Color Doppler Ultrasound in the Diagnosis of Acute Rejection after Allogeneic Renal Transplantation
The aim of the study was to investigate the role of ultrasound in the diagnosis of acute rejection after allogeneic renal transplantation. Thirty-two renal transplant patients with acute rejection were enrolled in the rejection group, and 32 kidney transplant patients with no acute rejection matched with ageing, gender, and weight were selected to form a non-rejection group for comparative study. Finally, we found Renal volume, cortical echo, resistance index (RI), and end-diastolic velocity (EDV) were significantly different between groups (P<0.05). There was a significant difference in cortical thickness, resistance index, and perfusion flow between the patients with acute rejection and those with no significant improvement after symptomatic treatment (P<0.05). So, Color Doppler ultrasound has a high accuracy in the diagnosis of acute rejection after allogeneic renal transplantation, especially for the evaluation of the effect of acute rejection therapy.
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