留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

活体肾移植供肾血管影像学评估的应用价值

彭露露 宋亭

彭露露, 宋亭. 活体肾移植供肾血管影像学评估的应用价值[J]. 器官移植, 2018, 9(2): 162-165. doi: 10.3969/j.issn.1674-7445.2018.02.014
引用本文: 彭露露, 宋亭. 活体肾移植供肾血管影像学评估的应用价值[J]. 器官移植, 2018, 9(2): 162-165. doi: 10.3969/j.issn.1674-7445.2018.02.014

活体肾移植供肾血管影像学评估的应用价值

doi: 10.3969/j.issn.1674-7445.2018.02.014
基金项目: 

广州市荔湾区科技计划 20151217096

详细信息
    作者简介:

    彭露露,女,1991年生,本科,技师,研究方向为体部CT成像,Email: 1651157070@qq.com

    通讯作者:

    宋亭,男,1968年生,博士,主任医师,研究方向为盆腔疾病影像诊断,Email: 1059120864@qq.com

  • 中图分类号: R617, R445

  • 摘要: 肾移植是终末期肾病的重要治疗手段。随着肾移植手术需求量的增大及对术后移植肾功能恢复要求的增高,术前供肾的筛选及评估引起了临床医师的关注。术前全面清晰了解肾动、静脉的正常解剖及变异,可缩短手术时间,提高手术成功率。随着影像学技术的不断发展,多层螺旋CT血管造影(MSCTA)、磁共振血管造影(MRA)、彩色多普勒超声及肾动脉血管造影已成为术前评估供肾血管情况的主要影像学方法,其中MSCTA具有快速、相对无创、敏感性及准确性高等特点,可作为活体肾移植前了解供肾血管的首选检查方法。本文综述了各种影像学方法的优、缺点,临床医师需根据患者的不同需求来选择最合适的影像学评估方法。

     

  • [1] ZHANG L, WANG F, WANG L, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey[J]. Lancet, 2012, 379(9818): 815-822. DOI: 10.1016/S0140-6736(12)60033-6.
    [2] LIYANAGE T, NINOMIYA T, JHA V, et al. Worldwide access to treatment for end-stage kidney disease: a systematic review[J]. Lancet, 2015, 385(9981): 1975-1982. DOI: 10.1016/S0140-6736(14)61601-9.
    [3] 罗子寰, 孙启全.肾移植基础研究2016年盘点[J].器官移植, 2017, 8(1): 15-21. DOI: 10.3969/j.issn.1674-7445.2017.01.004.

    LUO ZH, SUN QQ. Summary of basic study on renal transplantation in 2016[J]. Organ Transplant, 2017, 8(1): 15-21. DOI: 10.3969/j.issn.1674-7445.2017.01.004.
    [4] RUEBNER RL, REESE PP, DENBURG MR, et al. End-stage kidney disease after pediatric nonrenal solid organ transplantation[J]. Pediatrics, 2013, 132(5): e1319-e1326. DOI: 10.1542/peds.2013-0904.
    [5] NEUBERGER JM, BECHSTEIN WO, KUYPERS DR, et al. Practical recommendations for long-term management of modifiable risks in kidney and liver transplant recipients: a guidance report and clinical checklist by the Consensus on Managing Modifiable Risk in Transplantation (COMMIT) Group[J]. Transplantation, 2017, 101(4S Suppl 2): S1-S56. DOI: 10.1097/TP.0000000000001651.
    [6] MATAS AJ, SMITH JM, SKEANS MA, et al. OPTN/SRTR 2013 annual data report: kidney[J]. Am J Transplant, 2015, 15(Suppl 2): 1-34. DOI: 10.1111/ajt.13195.
    [7] PATIL AB, JAVALI TD, NAGARAJ HK, et al. Laparoscopic donor nephrectomy in unusual venous anatomy-donor and recepient implications[J]. Int Braz J Urol, 2017, 43(4):671-678. DOI: 10.1590/S1677-5538.IBJU.2016.0309.
    [8] VICÉNS-MORTON AJ, CALLAGHAN C, OLSBURGH J. Reconstruction of a damaged lower polar artery for kidney transplantation using tubularised donor aorta[J]. Case Rep Transplant, 2017: 3532473. DOI: 10.1155/2017/3532473.
    [9] SAGBAN TA, BAUR B, SCHELZIG H, et al. Vascular challenges in renal transplantation[J]. Ann Transplant, 2014(19): 464-471. DOI: 10.12659/AOT.890893.
    [10] 陈正, 潘光辉, 方佳丽, 等. 亲属活体供肾的病理改变及其临床相关性[J/CD]. 中华细胞与干细胞杂志(电子版), 2011, 1(1): 81-85. DOI: 10.3877/cma.j.issn.2095-1221.2011.01.012.

    CHEN Z, PAN GH, FANG JL, et al. Renal biopsy findings of living-related donors and their correction with post-surgery recovery[J/CD]. Chin J Cell Stem Cell(Electr Edit), 2011, 1(1): 81-85. DOI: 10.3877/cma.j.issn.2095-1221.2011.01.012.
    [11] 中华医学会器官移植学分会, 中国医师协会器官移植医师分会. 中国活体供肾移植临床指南(2016版)[J]. 器官移植, 2016, 7(6): 417-426. DOI: 10.3969/j.issn.1674-7445.2016.06.002.

    Branch of Organ Transplantation of Chinese Medical Association, Branch of Organ Transplant Physician of Chinese Medical Doctor Association. Clinical guideline on living donor renal transplantation in China (2016 edition)[J]. Organ Transplant, 2016, 7(6): 417-426. DOI: 10.3969/j.issn.1674-7445.2016.06.002.
    [12] 蒋鹏, 尤剑鹏, 高宏君, 等.肾脏缺血-再灌注损伤防治的研究进展[J].器官移植, 2016, 7(1): 78-81. DOI: 10.3969/j.issn.1674-7445.2016.01.016.

    JIANG P, YOU JP, GAO HJ, et al. Research progress on prevention and control of ischemia-reperfusion injury of kidney[J]. Organ Transplant, 2016, 7(1): 78-81. DOI: 10.3969/j.issn.1674-7445.2016.01.016.
    [13] HOLDEN A, SMITH A, DUKES P, et al. Assessment of 100 live potential renal donors for laparoscopic nephrectomy with multi-detector row helical CT[J]. Radiology, 2005, 237(3): 973-980. doi: 10.1148/radiol.2373041303
    [14] XUE J, DENG H, JIA X, et al. Establishing a new formula for estimating renal depth in a Chinese adult population[J]. Medicine (Baltimore), 2017, 96(5): e5940. DOI: 10.1097/MD.0000000000005940.
    [15] KAWAMOTO S, MONTGOMERY RA, LAWLER LP, et al. Multi-detector row CT evaluation of living renal donors prior to laparoscopic nephrectomy[J]. Radiographics, 2004, 24(2): 453-466. doi: 10.1148/rg.242035104
    [16] KAPOOR A, KAPOOR A, MAHAJAN G, et al. Multispiral computed tomographic angiography of renal arteries of live potential renal donors: a review of 118 cases[J]. Transplantation, 2004, 77(10): 1535-1539. doi: 10.1097/01.TP.0000122188.73298.54
    [17] RODGERS SK, SERENI CP, HORROW MM. Ultrasonographic evaluation of the renal transplant[J]. Radiol Clin North Am, 2014, 52(6): 1307-1324. DOI: 10.1016/j.rcl.2014.07.009.
    [18] YOO MG, JUNG DC, OH YT, et al. Usefulness of multiparametric ultrasound for evaluating structural abnormality of transplanted kidney: can we predict histologic abnormality on renal biopsy in advance?[J]. AJR Am J Roentgenol, 2017, 209(3): W139-W144. DOI: 10.2214/AJR.16.17397.
    [19] MEIER M, WINTERHOFF J, FRICKE L, et al. Structural and functional adaptation of the remnant kidney after living kidney donation: long-term follow-up[J]. Transplant Proc, 2017, 49(9): 1993-1998. DOI: 10.1016/j.transproceed.2017.07.007.
    [20] EL ZORKANY K, BRIDSON JM, SHARMA A, et al. Transplant renal vein thrombosis[J]. Exp Clin Transplant, 2017, 15(2): 123-129. DOI: 10.6002/ect.2016.0060.
  • 加载中
计量
  • 文章访问数:  91
  • HTML全文浏览量:  30
  • PDF下载量:  14
  • 被引次数: 0
出版历程
  • 收稿日期:  2017-12-25
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2018-03-15

目录

    /

    返回文章
    返回