CAJ | 학술논문

目的提高移植肾动脉血栓形成的诊治水平.方法回顾分析7例8次移植肾动脉血栓形成的病因、诊断和治疗.结果通过彩色多普勒和/或肾动脉造影确诊,除2例术后远期发生者外,其余5例早期发生者均行肾切除术,其中2例取出了吻合口及其附近髂外动脉内的血栓,恢复了同侧下肢的血液供应;1例再次肾移植者术后3年再次发生肾动脉栓塞.结论该并发症预后差,应以预防为主,早期诊断和及时手术治疗是关键.
목적 제고이식신동맥혈전형성적진치수평.방법 회고분석7례8차이식신동맥혈전형성적병인、진단화치료.결과 통과채색다보륵화/혹신동맥조영학진,제2례술후원기발생자외,기여5례조기발생자균행신절제술,기중2례취출료문합구급기부근가외동맥내적혈전,회복료동측하지적혈액공응;1례재차신이식자술후3년재차발생신동맥전새.결론 해병발증예후차,응이예방위주,조기진단화급시수술치료시관건.
Objective To improve the diagnosis and treatment of altografted renal artery thrombosis.Methods Seven cases(8 times)of the allografted renal artery thrombosis were studied retrospectively from 636(660 times)recipients.Results The diagnosis was confirmed by color Doppler ultrasound and (or)renal arteriograhpy.Except 2 cases who occurred in later period of transplantation,other 5 cases of allografted renal artery thrombosis occurring at the early state all underwent graft nephrectomy.Two out of the 5 cases were subjected tO the thrombectomy in ipsilateral A.external iliac and the blood supply of ipsilateral A.femoratis was recovered,and thromNasis reoccurred in one of them 3 years after renal re-transplantation.Conclusions allografted renal artery thrombosis had a poor prognosis.The prevention is very important for the disease.Early diagnosis and immediate operation are key for allografted renal artery thrombosis.