【摘要】 对 6 4例肾移植患者于术后 3周进行 SPECT检测 ,随访 4个月。将随访到的 5 4例经临床、生化和病理诊断分为肾功能稳定组、逆转组和肾失功组 ,复查 SPECT检查。结果 :肾失功组在术后 3周时的 tb、C1 /2 、RI、15 m in残留率、GFR、K/B比值、ERPF均和稳定组有明显差异 ,且 C1 /2 、K/B比值、ERPF也明显低于逆转组 ,而且临床及病理诊断与 SPECT检查结果一致。认为 SPECT检查可作为判断移植肾功能的相对灵敏、准确的指标 ,且术后 3周的监测结果可作为预测排斥反应发生的一项预警指标更多还原

【Abstract】 To explore evaluation of SPECT test with rejection response in renal transplant cases, SPECT tests examined two times for 54 renal transplant cases whose were divided by renal function stable groups, renal function reverse of rejection groups and non functions of renal groups. Results showed the non function of renal groups had significant difference t b, C 1/2 , RI reside rate, B/K ratio, GFR and ERPF to renal function stable groups,and SPECT diagnosis consist with clinical and pathological diagnosis. This suggested that SPECT monitoring function of renal transplant might provide valuable information about renal function status and prognosis.更多还原