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应用高频超声和多普勒能量图(PDS)对20例正常移植肾、18例急性排异(AR)、8例急性肾小管坏死(ATN)、16例慢性移植肾功能障碍(CGD)患者进行研究。结果显示:用高频两维超声有助于诊断AR、ATN、CGD。移植肾皮质部的PDS显像分级能较好地评价皮质部血流灌注,但AR、ATN及CGD也可呈正常分级,PDS的诊断敏感性不如RI值。皮质部RI值随检测部位不同而有差异,以CGD最为明显。移植肾皮质部血流灌注不良时,血流充盈缺乏首先发生在等容收缩期。用高频PDS超声和肾皮质部多点检测RI值,可较好地评价移植肾功能障碍。
Twenty patients with normal renal transplantations, 18 acute rejection patients (AR), 8 acute tubular necrosis (ATN), 16 chronic kidney transplant recipients (CGD) underwent ultrasonography and Doppler energy imaging (PDS) research. The results show that: the use of high-frequency two-dimensional ultrasound diagnosis of AR, ATN, CGD. PDS grading of transplanted renal cortical area can better evaluate the perfusion of cortical area, but AR, ATN and CGD can also be normal grading, PDS diagnostic sensitivity than RI value. Cortical RI values vary with the test site, with CGD most obvious. Transplantation of renal cortical poor perfusion, lack of blood flow filling occurs first in isovolumic systole. With high-frequency PDS ultrasound and renal cortical multi-point detection of RI values, can be better evaluated graft renal dysfunction.