CAJ | 학술논문

背景:血管吻合技术的好坏直接关系到肾移植的成败.目的:提高肾移植变异血管吻合的技术方法. 方法:1999年9月至2010年12月广东省第二人民医院器官移植科共完成878例肾移植,对其中供肾存在的动静脉血管变异进行修整、合并、延长等重建处理后进行移植,副肾动脉采用改良支架支撑法同腹壁下动脉吻合. 结果与结论:878例肾移植中,55例供肾动脉变异,肾静脉变异22例,经血管修整重建后均成功与受者髂内或髂外血管吻合.23例直径大于1 mm副肾动脉与腹壁下动脉吻合均取得成功.移植后彩超显示肾动静脉吻合口血流及副肾动脉血流正常.提示移植肾血管变异及副肾动脉只要正确处理,吻合得当,可以安全有效地移植给受者并获良好效果.
배경:혈관문합기술적호배직접관계도신이식적성패.목적:제고신이식변이혈관문합적기술방법. 방법:1999년9월지2010년12월광동성제이인민의원기관이식과공완성878례신이식,대기중공신존재적동정맥혈관변이진행수정、합병、연장등중건처리후진행이식,부신동맥채용개량지가지탱법동복벽하동맥문합. 결과여결론:878례신이식중,55례공신동맥변이,신정맥변이22례,경혈관수정중건후균성공여수자가내혹가외혈관문합.23례직경대우1 mm부신동맥여복벽하동맥문합균취득성공.이식후채초현시신동정맥문합구혈류급부신동맥혈류정상.제시이식신혈관변이급부신동맥지요정학처리,문합득당,가이안전유효지이식급수자병획량호효과.
@@@@BACKGROUND:The vascular anastomosis technique is directly related to the success or failure of the renal transplantation. @@@@OBJECTIVE:To improve the techniques of variable vascular anastomosis in renal transplantation. @@@@METHODS:878 cases received renal transplantation in the Department of Organ Transplantation, Guangdong No.2 Provincial People’s Hospital from September 1999 to December 2010 were selected, and the donor renal vascular variation including renal artery and renal vein were treated with trim, merge, extend and other reconstruction processes for renal transplantation, and the accessory renal arteries were anastomosed to inferior epigastric arteries by a modified stereotaxic method. @@@@RESULTS AND CONCLUSION:Among the 878 renal transplantation cases, 55 donor kidneys had renal artery variation and 22 donor kidneys had renal vein variation. Al the variable vessels were anastomosed to the internal iliac or external iliac vessels successful y after vascular reconstruction. Twenty-three cases of accessory renal arteries with the diameter of more than 1 mm were anastomosed to inferior epigastric arteries successful y. Color Doppler ultrasound image showed that blood stream was smooth in al anastomosed vessels. Transplant renal vascular variation and accessory renal arteries can be transplanted safely and effectively by correct vascular rebuilding or vascular anastomosis.