移植肾动脉栓塞处理失功能移植肾的临床效果  

Clinical Effect of Renal Artery Embolization for Renal Graft Dysfunction

作　　者：杨志豪[1] 叶志东[2] 刘鹏[2] 刘乃波[1] 李文华[3] 岩正[4] 张冠[1] 张钊[1] 

机构地区：[1]中日友好医院泌尿外科,北京100029 [2]中日友好医院心脏血管外科,北京100029 [3]中国航空工业中心医院泌尿外科,北京100012 [4]清华大学第二附属医院泌尿外科,北京100049

出　　处：《中国微创外科杂志》2008年第4期308-310,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨移植肾动脉栓塞术处理失功能移植肾的临床效果。方法对17例失功能移植肾进行经皮移植肾动脉栓塞治疗,其中7例单纯行弹簧栓子栓塞,10例行明胶海绵+弹簧栓子栓塞。结果14例术后3周内停用全部免疫抑制剂;2例小剂量激素维持约6个月后停用,随访情况良好;1例因持续发热、移植肾疼痛手术切除。14例出现明显的"栓塞后综合征";术中发生弹簧栓子脱落1例;术中发生心绞痛、术后1天后发生心肌梗死1例。结论对移植肾失功能病人,移植肾动脉栓塞术安全、有效,可避免手术切除,但应注意可能发生的并发症。Objective To explore the clinical effect of renal artery embolization for renal graft dysfunction.Methods A total of 17 patients with renal graft dysfunction were treated by embolizing the renal graft artery.Coil embolization was performed on 7 of the cases,and gelfoam combined with coil was used in the other 10.Results Among the 17 patients,14 discontinued immunosuppressant in 3 weeks after the embolization,and 2 discontinued after receiving low-dose cortisones for about 6 months,and showed good recovery d...

关 键 词：移植肾 肾动脉 栓塞术 

分 类 号：R699[医药卫生—泌尿科学]