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肾移植后发生肾周积液和淋巴囊肿相当常见,而且可引起许多严重的并发症,但对这些液体聚积的长期并发症和结局研究甚少。作者研究了该一病症的发病率、临床表现、病理学和治疗结果。在1971年1月～1986年6月间共作386例肾移植手术。术后即期作B超、CT检查移植肾,此后每隔6个月复查一次。对伴有排斥反应的症状性积液、超过50～100ml的积液,在超声指引下作穿刺治疗。在2～11年的随访中,发现190例(49％)有肾周积液。其中98例(51％)积液不足50ml,无临床症状,没有并发症;92例(49％)均作了诊断性或治疗性穿刺(57例为治疗目的)。35例经生化检查证实为淋巴囊肿。13例淋巴囊肿伴有排斥反应,其中8例经1次穿吸后囊肿消失,复
Peritoneal effusion and lymphatic cysts are quite common after renal transplantation, and can cause many serious complications, but little is known about the long-term complications and outcome of these fluid accumulations. The authors studied the morbidity, clinical presentation, pathology, and outcome of the disorder. In January 1971 January to June 1986 a total of 386 cases of renal transplant. Postoperative B-ultrasound, CT examination of kidney transplant, after every 6 months to review again. Symptomatic associated with rejection of effusion, more than 50 ~ 100ml of effusion, under the guidance of ultrasound for puncture treatment. During 2 to 11 years of follow-up, it was found that 190 (49%) had perirenal fluid. Of these, 98 (51%) had effusion less than 50 mL, no clinical signs and no complications, and 92 (49%) had diagnostic or therapeutic punctures (57 for therapeutic purposes). 35 cases confirmed by biochemical examination of lymphatic cysts. 13 cases of lymphatic cyst accompanied by rejection, of which 8 cases of a cyst disappeared after 1 wear complex