摘要
【目的】探讨移植肾变异血管的处理方法及取肾过程中血管意外损伤的预防措施。【方法】回顾性分析16年间39例移植肾变异血管重建病例，依据具体情况，采取不同方法将移植肾安全有效的移植给患者。【结果]39例患者术中未出现因血管吻合口狭窄或活动性出血需离断再吻合，术后彩超示肾脏血流丰富，无局灶性缺血表现。2侧动脉吻合口血流速度增快，3例出现移植肾功能恢复延迟，2例血肌酐未降至正常范围。【结论】不同类型的移植肾血管变异需采取不同的重建方法，可最大限度地保存移植肾功能，提高移植肾利用率刘盘床实践中需采取有效预防措施，避免供肾血管意外损伤，合理安全摘取供肾。
[Objective] To investigate the treatment method for variant vessels of transplanted kidney and the preventive measures of vascular accidental injuries during the removal of kidney. [Methods] Thirty nine cases with revascularization of variant vessels of transplanted kidney within 16 years were analyzed retrospectively. According to concrete status, different methods were used to transplant the kidney into the patients safely and effectively. [Results] Among 39 patients, no one needed amputation and reanastomosis for anastomotic stenosis or active bleeding. Postoperative color Doppler ultrasound showed the abundant blood flow of kidney and no local ischemic appearance. Faster blood flow of arterial anastomosis was found in 2 cases. Delayed recovery of transplanted renal function was found in 3 cases. Serum creatinine of 2 cases was not reduced tO the normal range. [Conclusion] Different methods of renal vascular reconstruction should be used for different types of vascular variation of transplanted kidney. Renal function should be preserved maximatily in order to improve the availability of transplanted kidney. Effective preventive measures should be taken to avoid the renal vascular accidental injuries and ensure the rational and safe removal of kidney.
出处
《医学临床研究》
CAS
2010年第12期2280-2281,共2页
Journal of Clinical Research
关键词
肾移植
血管
kidney transplantation
blood vessels
