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目的 探讨肾移植术后并发症的放射学诊疗价值。方法 由 2名有经验的医生经双盲法对 165例肾移植术后并发症的放射学资料进行回顾性分析。结果 肾移植术后肺部感染者 15 8例 ,其中主要的病原菌依次为细菌、真菌和病毒等。影像学诊断为正常者 3 0例 ( 19 0 %) ,诊断为肺纹理增多增粗模糊者 44例 ( 2 7 8%) ,肺部感染者 84例 ( 5 3 2 %)。DSA造影诊断肾移植术后肾动脉狭窄 5例 ,胰肾一期联合移植术后移植胰腺血管内血栓形成 1例。结论 胸片与CT扫描有助于肾移植术后肺部感染的临床诊断 ,胸片是其首选的影像学检查方法。DSA检查有利于明确肾移植术后血管并发症的诊断。
Objective To investigate the value of radiological diagnosis and treatment of complications after renal transplantation. Methods A retrospective analysis was performed on the radiological data of 165 postoperative renal transplant recipients by two experienced doctors by double-blind method. Results There were 158 cases of pulmonary infection after kidney transplantation, among which the main pathogens were bacteria, fungi and viruses. There were 30 cases (190%) diagnosed as normal, 44 cases (278%) diagnosed as thickening of lung markings, and 84 cases (53.2%) of lung infections. DSA angiography diagnosis of renal artery stenosis after renal transplantation in 5 cases, pancreas and kidney transplantation pancreas transplanted thrombosis in 1 case. Conclusion X-ray and CT scan are helpful to the clinical diagnosis of pulmonary infection after kidney transplantation. X-ray is the first choice of imaging examination. DSA examination is helpful to confirm the diagnosis of vascular complications after renal transplantation.