肺移植术后排斥反应的影像学检查方法现状及展望

Current status and prospect of imaging examination methods for rejection after lung transplantation

肺移植是治疗终末期肺病的唯一有效手段,其术后发生的排斥反应是影响受者预后的主要因素。影像学检查可作为无创手段,辅助其他检查监测肺移植术后排斥反应。目前已报道的影像学方式较多,明确各种影像学检查的优势与不足,有助于排斥反应的早期诊断,使得肺移植受者可以得到及时治疗,进而提高其生活质量及预后。本文对肺移植术后排斥反应各种影像学检查的利弊及进展进行综述,为寻找肺移植术后排斥反应的最佳无创检查手段提供参考,提高受者远期生存。

Lung transplantation is the only effective therapeutic option for end-stage lung diseases,and postoperative rejection is the main factor affecting clinical prognosis of the recipients.Imaging examination can be utilized as a noninvasive tool to assist other examinations in monitoring rejection after lung transplantation.At present,multiple imaging examination methods have been reported.The advantages and disadvantages of various imaging examinations have been clarified,which may promote early diagnosis of rejection,deliver timely treatment for lung transplant recipients and improve the quality of life and clinical prognosis.In this article,the advantages,disadvantages and research progress upon different imaging examinations for rejection after lung transplantation were reviewed,aiming to provide reference for identifying the optimal noninvasive examination approach for rejection after lung transplantation and enhance the longterm survival of the recipients.