دورية أكاديمية

[Comparison of 2 methods of diagnosis of changes in transplanted kidneys in the early postoperative period: biopsy vs dynamic scintigraphy of the graft].

التفاصيل البيبلوغرافية
العنوان: [Comparison of 2 methods of diagnosis of changes in transplanted kidneys in the early postoperative period: biopsy vs dynamic scintigraphy of the graft].
عنوان ترانسليتريتد: Srovnání dvou metod v diagnostice zmĕn transplantované ledviny v casném pooperacním období: biopsie versus dynamická scintigrafie stĕpu.
المؤلفون: Veselský Z; Urologická klinika FN a LF, Hradec Králové. veselsky@lfhk.cuni.cz, Macek P, Navrátil P, Fixa P, Psohlavec J, Förstl M
المصدر: Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti [Rozhl Chir] 2001 Jul; Vol. 80 (7), pp. 361-3.
نوع المنشور: Comparative Study; Journal Article
اللغة: Czech
بيانات الدورية: Publisher: Chirurgie - Servis o.s Country of Publication: Czech Republic NLM ID: 9815441 Publication Model: Print Cited Medium: Print ISSN: 0035-9351 (Print) Linking ISSN: 00359351 NLM ISO Abbreviation: Rozhl Chir Subsets: MEDLINE
أسماء مطبوعة: Publication: 2012-: Praha : Chirurgie - Servis o.s.
Original Publication: Praha : Nákladem Československé chirurugické společnosti
مواضيع طبية MeSH: Biopsy, Needle*/adverse effects , Kidney Transplantation*, Graft Rejection/*diagnosis , Kidney/*diagnostic imaging , Kidney/*pathology , Kidney Tubular Necrosis, Acute/*diagnosis, Graft Rejection/diagnostic imaging ; Humans ; Kidney Tubular Necrosis, Acute/diagnostic imaging ; Kidney Tubular Necrosis, Acute/etiology ; Middle Aged ; Radionuclide Imaging
مستخلص: Renal transplantation is at present a standard therapeutic method in chronic renal insufficiency. For a favourable development of the graft some investigated criteria are of basic importance: basic diagnosis which led to renal failure, period of dialyzation treatment, high standard collection and perfusion and early diagnosis of the rejection episode. Non-invasive diagnostic methods of the rejection episode are always indirect and correlate with histologically confirmed rejection, depending on the period of transplantation in 10-90% patients. Indirect diagnosis is based in particular on a rise of the creatinemia, decline of glomerular filtration, fluid retention variations of blood pressure and increase of the Doppler assessed index of resistance (IR) in the peripheral veins of the graft [1]. For many years the role of nuclear diagnostics are tested. The disadvantage of direct diagnosis--biopsy--is increased haemorrhage and loss of the graft [1, 2, 3, 4]. The greatest problem is the differentiation of acute (cellular) rejection as compared with acute tubular necrosis during the initial days after transplantation. The authors describe their experience with 81 biopsies in the course of 3 years in patients during the first 10 days after transplantation, comparison with dynamic scintigraphy of the graft. Their attention is focused on the technique and risks of renal biopsy.
تواريخ الأحداث: Date Created: 20010817 Date Completed: 20010920 Latest Revision: 20161206
رمز التحديث: 20240627
PMID: 11505690
قاعدة البيانات: MEDLINE