PULSED AND CONTINUOUS DOPPLER EVALUATION OF RENAL DYSFUNCTION AFTER KIDNEY-TRANSPLANTATION

被引:7
作者
ALVAREZ, G [1 ]
GONZALEZMOLINA, M [1 ]
CABELLO, M [1 ]
GOMEZ, A [1 ]
机构
[1] HOSP REG CARLOS HAYA,SERV NEFROL,MALAGA,SPAIN
关键词
ULTRASOUND; DOPPLER STUDY; RENAL TRANSPLANT; KIDNEY; TRANSPLANT EVALUATION;
D O I
10.1016/0720-048X(91)90108-8
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Seventy-eight recipients, average age 36 years, of cadaver kidneys were studied to evaluate the usefulness of Doppler ultrasonography for diagnosis of common complications in renal transplant patients. The patients were divided in five groups: Control (normal renal function), acute rejection (AR), acute tubular necrosis (ATN), obstructive uropathy (OU) and pathological vasculature (PV); renal artery stenosis (RAS) and renal artery trombosis (RAT). Pulsed Doppler ultrasonography (PDUS) was an effective method to diagnose RAS and RAT, but did not sufficiently differentiate between AR and ATN. Despite this, PDUS may be useful for follow-up of renal transplant patients as specific changes in the PDUS curves or differences in successively recorded patterns indicate abnormality, which may initiate more specific diagnostic methods.
引用
收藏
页码:108 / 112
页数:5
相关论文
共 19 条
[1]  
Berland, Lawson, Adams, Evaluation of renal transplants with pulsed Doppler duplex sonography, J Ultrasound Med, 1, pp. 215-222, (1982)
[2]  
Buckley, Cooperberg, Reeve, Magill, The distinction between acute renal transplant rejection and cyclosporine nephrotoxicity: value of duplex sonography, AJR, 149, pp. 521-525, (1987)
[3]  
Faenza, Spolaure, Poggioli, Renal artery stenosis after renal transplantation, Kidney Int, 23, pp. 54-59, (1983)
[4]  
Flan, Chevalier, Recovery from post-ischemic acute renal failure in the rat, Kidney International, 16, pp. 113-123, (1979)
[5]  
Hancock, Gee, De Moerloose, Immunohistological analysis of serial biopsies taken during human renal allograft rejection: changing profiles of infiltrating cells and activation of coagulation system, Transplantation, 39, pp. 430-438, (1985)
[6]  
Jaenike, The renal response to uretal obstruction
[7]  
a model for the study of factors which influence glomerular filtration pressures, J Lab Clin Med, 76, pp. 373-382, (1970)
[8]  
Keown, Stiller, Wallace, Cyclosporine nephrotoxicity: exploration of the risk factors and prognosis of the renal injury, Transplant Proc, 17, pp. 247-253, (1985)
[9]  
Kohler, Zierler, Martin, Non-invasive diagnosis of renal artery stenosis by ultrasonic duplex scanning, J Vasc Surg, 4, pp. 450-456, (1986)
[10]  
Levinsky, Pathophysiology of acute renal failure, N Eng J Med, 296, pp. 1453-1458, (1977)