移植肾功能丧失后的动脉栓塞治疗  

Follow-up of non-functioning renal graft after endovascular treatment with detachable coils

作　　者：向军[1] 李昕[1] 刘龙[1] 范连慧[1] 何城[1] 

机构地区：[1]沈阳军区总医院泌尿外科,110016

出　　处：《中华器官移植杂志》2010年第7期433-435,共3页Chinese Journal of Organ Transplantation

摘　　要：目的探讨移植肾功能丧失后动脉栓塞治疗的技术要点、远期疗效及应用价值。方法对11例移植肾功能丧失的患者行移植肾动脉栓塞术。术后对患者进行长期随访，采用彩色多普勒超声检查术后3个月、6个月及1年时移植肾大小及其血流情况，并记录血压、尿液变化以及有无与移植肾相关的并发症。结果11例患者均成功地实施了移植肾动脉栓塞术，术中和术后均没有发生与介入栓塞术相关的外科并发症。术后3个月、6个月及1年时行彩色多普勒检查发现移植肾血流消失、移植肾萎缩。结论移植肾动脉栓塞术具有安全、微创和简便的优点，是一种完全可以代替移植肾切除的治疗方法。Objective To discuss the indication, technical points and long-term effects of endovaseular embolization for non functioning renal graft with detachable coils, and to get further evaluation of its practical value. Methods Monitored by DSA, endovascular embolization with detachable coils was performed on 1 l patients with non-functioning renal graft. Results Renal arteries all had been successfully blocked in 11 cases. Good recovery without any complication was obtained. Conclusion Endovascular embolization for non-functioning renal graft with detachable coils is safe, minimally invasive and convenient, and can be used as an alternative to the resection of the renal grafts.

关 键 词：肾移植 肾功能衰竭 栓塞 治疗性 随访研究 

分 类 号：R699.2[医药卫生—泌尿科学]