【出处】Journal of Clinical Rehabilitative Tissue Engineering Research
【卷号】Vol.13 No.18
【页码】3413-3416
【ISSN】1673-8225
【摘要】BACKGROUND: Routine ultrasonographies cannot final diagnosis or misdiagnosis the perirenal hematoma of transplanted kidneys. As a kind of ultrasound contrast agent, SonoVue is easy to diagnosis the perirenal hematoma clearly. OBJECTIVE: To examine the transplant kidney perirenal hematoma, which cannot definite diagnosed by routine ultrasonography (including two-dimension and color Doppler) by SonoVue ultrasound contrast imaging. Further more, to verify the clinical value of SonoVue on diagnosis of transplant kidney perirenal hematoma. DESIGN, TIME AND SETTING: A retrospective case analysis was performed at the Department of Ultrasonography, First People's Hospital Affiliated Shanghai Jiao Tong University from January 2006 to December 2008. PARTICIPANTS: Six patients received allogeneic kidney transplantation, including 4 male and 2 female, with aged 20-65 years. METHODS: Patients were placed as supine position, and subsequently evaluated by SonoVue ultrasound contrast imaging after two-dimension and color Doppler imaging. Patients were suspected perirenal hematoma by routine ultrasonography was selected cross section of transplanted kidney, fladellum or parallel scanning was performed in the process of angiography. The images were stored real-timely and analyzed by review. MAIN OUTCOME MEASURES: Ultrasonography of transplanted kidney and surrounding tissues, as well as blood perfusion. RESULTS: All six patients were successfully examined with ultrasound contrast imaging. The definite diagnosis was worked out after examining of ultrasound contrast imaging. Four cases were diagnosed as perirenal hematoma, two of which were diagnosed by drainage treatment; the other two were followed up until hematoma absorption. All diagnosis was confirmed by clinic. CONCLUSION: The transplant kidney perirenal hematoma can be diagnosed definitely and rapidly by ultrasound contrast imaging with SonoVue. The ultrasound contrast imaging with SonoVue is helpful supplement to routine ultrasonography, especially in respect diagnosing definitely perirenal hematoma suspected by routine ultrasonography or preventing from misdiagnosis.
