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| 移植肾动脉狭窄的诊治(附3例报告) | |
| 引用本文： | 吕军,朱云松,邓志雄,王尉,王伟中,曹启友,黄孝庭,胡卫列. 移植肾动脉狭窄的诊治(附3例报告)[J]. 中国微创外科杂志, 2005, 5(4): 310-311 |
| 作者姓名： | 吕军 朱云松 邓志雄 王尉 王伟中 曹启友 黄孝庭 胡卫列 |
| 作者单位： | 1. 华中科技大学同济医学院在读博士研究生,武汉,430030 2. 广州军区广州总医院泌尿外科,广州军区泌尿外科研究所,广州,510010 3. 脑病中心介入治疗室 |
| 摘 要： | 目的探讨移植肾动脉狭窄的诊治方法. 方法回顾性分析253例肾移植术后发生的3例移植肾动脉狭窄(transplant renal artery stenosis, TRAS)的诊治经过. 结果 3例TRAS均发生于肾移植术后半年内,经彩超和肾动脉造影确诊.3例均行经皮穿刺移植肾动脉球囊扩张成形(percutaneous transluminal renal angioplasty, PTRA)和血管内支架置入,获临床治愈.随访15～24个月,无TRAS复发,移植肾功能正常. 结论彩超是筛选TRAS的首选检查方法,肾动脉造影是TRAS的确诊手段.PTRA/血管内支架置入是治疗TRAS的安全、有效和首选方法. |
| 关 键 词： | 肾动脉狭窄 肾移植 |
| 文章编号： | 1009-6604(2005)04-0310-02 |
| 修稿时间： | 2003-09-01 |
Diagnosis and treatment of transplanted renal artery stenosis: Report of 3 cases |
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| Abstract: | Objective To discuss the diagnosis and treatment of transplanted renal artery stenosis (TRAS). Methods A retrospective analysis was carried out on the diagnosis and treatment of 3 cases of TRAS out of 253 cases of kidney transplantation. Results TRAS occurred within 6 months after kidney transplantation in all the 3 cases. The diagnosis was clarified by color Doppler ultrasonography and renal arteriography. The 3 patients were clinically cured by percutaneous transluminal renal angioplasty (PTRA) and metallic stent placement. Follow-up for 15~24 months found no re-stenosis and normal functions of transplanted kidney. Conclusions Color Doppler ultrasonography is the first choice for screening TRAS and the confirmation of the diagnosis is based on renal arteriography. Percutaneous transluminal renal angioplasty and stent placement is a safe and effective option and the first choice for the treatment of TRAS. |
| Keywords: | Renal artery stenosis Kidney transplantation |
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