CAJ | 학술논문

目的：探讨动静脉内瘘关闭修复术对心功能的影响，以扩大同种异体肾移植适应证。方法：对8例长期血液透析反复出现心力衰竭者在肾移植前5个月行动静脉内瘘关闭修复术。结果：心腔恢复正常7例，心腔内径在正常上限1例。肾移植成功6例，肝功能衰竭死亡1例，自发性肾破裂作肾切除1例。结论：肾移植前先行动静脉内瘘关闭修复术有利于改善患者心、肺功能，扩大手术适应证，减少并发症，为肾移植创造有利条件。
목적：탐토동정맥내루관폐수복술대심공능적영향，이확대동충이체신이식괄응증。방법：대8례장기혈액투석반복출현심력쇠갈자재신이식전5개월행동정맥내루관폐수복술。결과：심강회복정상7례，심강내경재정상상한1례。신이식성공6례，간공능쇠갈사망1례，자발성신파렬작신절제1례。결론：신이식전선행동정맥내루관폐수복술유리우개선환자심、폐공능，확대수술괄응증，감소병발증，위신이식창조유리조건。
Purpose:In order to investigate the effects of repair of arteriovenous fistula on heart function soas to widen the range of the indication of allogenetic transplantation of kidney. Methods :Repair of arteriovenousfistula was performed in 8 patients who have received long term hemodialysis and then complicated with repeatedattack of heart failure 5 months before renal transplantation. Results:There are 7 patients had their cardiac cham-bers returned to normal, and 1 returned to normal upper limit. Renal transplantation was successfully performedin 6 patients, but death occurred in 1 case resulting from liver function failure. Superacute rejection and sponta-neous rupture of the kidney occurred in 1 patient. Conclusions:It is considered that the repair of arteriovenous fis-tula before renal transplantation is beneficial to improvement of heart function in these patients so as to widen therange of operative indications and create favourable condition for renal transplantation and decrease complica-tions. Color doppler sonography is of great value in monitoring pre-and postoperative heart function.