CAJ | 학술논문

目的：探讨肾移植术后髂外动脉血管并发症的特点和诊治经验。方法：回顾2001年至2013年中南大学湘雅三医院移植中心2000余例肾移植患者中6例肾移植术后髂外动脉血管并发症患者的临床资料，对其临床特点及诊治方法进行分析总结。结果：6例患者中5例因反复髂外动脉出血切除移植肾，其中2例患者行自体大隐静脉逆转替代髂外动脉术，2例患者行双侧股动脉血管搭桥术，1例直接行髂外动脉修补术；另1例患者因髂外动脉真菌包块切除了移植肾及所累及处的髂外动脉，动脉缺损处用尸体髂动脉行原位搭桥术。6例患者中除1例髂外动脉修补术后死亡外，其余5例患者均存活。结论：血管替代法及动脉搭桥法是抢救肾移植术后髂外动脉血管并发症患者较为有效的方法。
목적：탐토신이식술후가외동맥혈관병발증적특점화진치경험。방법：회고2001년지2013년중남대학상아삼의원이식중심2000여례신이식환자중6례신이식술후가외동맥혈관병발증환자적림상자료，대기림상특점급진치방법진행분석총결。결과：6례환자중5례인반복가외동맥출혈절제이식신，기중2례환자행자체대은정맥역전체대가외동맥술，2례환자행쌍측고동맥혈관탑교술，1례직접행가외동맥수보술；령1례환자인가외동맥진균포괴절제료이식신급소루급처적가외동맥，동맥결손처용시체가동맥행원위탑교술。6례환자중제1례가외동맥수보술후사망외，기여5례환자균존활。결론：혈관체대법급동맥탑교법시창구신이식술후가외동맥혈관병발증환자교위유효적방법。
Objective: To explore the characteristics of external iliac artery vascular complications atfer renal transplantation and the diagnosis and treatment. Methods: We reviewed the clinical data of 6 patients with of external iliac artery vascular complications atfer renal transplantation from more than 2000 renal transplantation patients in the Transplantation Center of the Third Xiangya Hospital of Central South University from 2001 to 2013, and analyzed the clinical characteristics, diagnosis and treatment. Results: hTe renal allogratf was removed in 5 of the 6 patients due to repeated external iliac arteryhemorrhage: 2 patients were replaced the external iliac artery with reversed autogenous great saphenous vein, 2 patients underwent the bilateral femoral artery bypass surgery, and 1 was repaired the external iliac artery directly. The other 1 was resected the renal allograft and the involved external iliac arteries due to fungal mass in the external iliac artery. Among the 6 patients, except 1 patient died atfer the surgery of the repair of the external iliac artery, the other 5 are all alive. Conclusion: Vascular replacement and artery bypass are effective methods for patients with external iliac artery vascular complications atfer kidney transplantation.