论文部分内容阅读
肾移植后发热,一直是诊断上的难题。本文通过病例复习,评价~(111)In标记自体白细胞(~(111)In WBC)扫描这一影象技术用于异体肾移植术后原因不明发热或隐性脓肿病人时的诊断可靠性和价值。 10例肾移植病人共作14次~(111)In WBC扫描。异常积聚可用目测分类,或采用Kipper和William半定量0～4+强度级表。据此,炎症病变可以容易地定位,并可作出从轻度炎症到化脓性感染甚或脓肿的分类。对照组包括20例非肾移植且无免疫抑制,肾功能良好病例及6例终末期肾病(ESRD)患者。结果显示:所有移植肾均有轻度(1+)弥漫性~(111)In WBC积聚,2例并有灶性浓缩(>1+),其中1例为肾段梗死,另1例为肾周血肿。10例临床均不正常,6例排斥,2例急性肾小管坏死
Fever after kidney transplantation has always been a diagnostic problem. This review is to evaluate the diagnostic reliability and value of ~ (111) In-labeled autologous leukocyte (~ (111) In WBC) imaging in diagnosis of patients with unexplained fever or recessive abscess after allogeneic kidney transplantation . A total of 10 renal transplant patients underwent ~ (111) In WBC scans. Abnormal accumulation can be visual classification, or using Kipper and William semi-quantitative 0 ~ 4 + intensity level table. As a result, inflammatory lesions can be easily located and classification from mild inflammation to suppurative or even abscess can be made. The control group consisted of 20 non-renal transplant patients with no immunosuppression, good renal function, and 6 patients with end-stage renal disease (ESRD). The results showed that all of the grafted kidneys had mild (1+) diffuse ~ (111) In WBC accumulation, 2 cases had focal concentration (> 1+), of which 1 had renal infarction and 1 had kidney Week of hematoma. Ten cases were not normal clinical, six cases of rejection, two cases of acute tubular necrosis