肾移植术后移植肾假性动脉瘤临床分析  

Clinical study of renal transplant pseudoaneurysm

作　　者：刘乃波[1] 杨志豪[1] 周晓峰[1] 刘鹏[2] 冯照晗[1] 周莉[1] 张钊[1] 

机构地区：[1]卫生部中日友好医院泌尿外科,北京100029 [2]卫生部中日友好医院血管外科

出　　处：《临床泌尿外科杂志》2006年第3期174-175,177,共3页Journal of Clinical Urology

摘　　要：目的:探讨肾移植术后移植肾假性动脉瘤的诊断与治疗方法。方法:对4例肾移植术后移植肾假性动脉瘤患者的临床资料、诊断及治疗情况进行回顾性分析。结果:本病临床表现不典型,发热2例,移植肾区疼痛3例,尿量减少2例,血肌酐升高2例。4例均行移植肾彩色多普勒超声检查,3例行血管造影确诊为移植肾假性动脉瘤。治疗上,2例行移植肾加动脉瘤切除术,其中1例同时行髂外动脉人工血管端端吻合;1例采用带膜支架髂外动脉置入治疗;1例未作特殊处理,仅定期随访观察。结论:彩色多普勒超声检查对本病的诊断较具价值,血管造影可确诊。移植肾加动脉瘤切除术是常用的方法,带膜支架置入治疗移植肾假性动脉瘤是一种微创、有效、安全的治疗方法。Objective：To present our experience in the management of renal transplant pseudoaneurysm. Methods.. The clinical data of 4 cases of patients with renal transplant pseudoaneurysm were retrospectively analyzed. Results： No typical symptom was noted in this diease. Color Doppler flow （CDF） examinations were performed in 4 cases and 3 cases presented cystic mass around the renal vessel. Angiography was conducted in 3 cases and all shew renal transplant pseudoaneurysm The remaining one case＇s diagosis was confirmed by surgical detection. Two patients underwent nephrectomy： one of which received artificial vessel anastomose of external iliac. Another one received stent-graft placement across the external iliac artery. The remaining one case is under watchful waitingS. Conclusions,.Renal transplant pseudoaneurysm can be diagnosed by color Doppler flow. But the correct diagnosis of pseudoaneurysm was made after angiography. Surgical treatment was effective. Radiologic interventional procedure was a safe, effective, minimally invasive alternative surgical technique for the renal transplant pseudoaneurysm.

关 键 词：肾移植 移植肾假性动脉瘤 诊断 治疗 

分 类 号：R617[医药卫生—外科学] R737.11[医药卫生—临床医学]