肾移植术后血管并发症的诊疗策略  

Diagnosis and treatment strategies for vascular complications after kidney transplantation

作　　者：张江伟 丁小明[1] Zhang Jiangwei;Ding Xiaoming(Department of Kidney Transplantation,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院肾移植科,西安710061

出　　处：《器官移植》2024年第1期1-9,共9页Organ Transplantation

基　　金：国家自然科学基金(81970670)。

摘　　要：随着肾移植供受者评估标准、器官获取保存方案、手术技术等不断进步,肾移植术后血管并发症的发生率有所下降,但仍是肾移植较为严重的手术并发症之一,可导致移植物丢失及受者死亡,严重影响肾移植效果。因此,本文就肾移植术后常见血管并发症,包括血管狭窄、动脉夹层、假性动脉瘤、血管破裂、血栓等的发生概况、临床表现、诊断和治疗策略进行综述,并结合西安交通大学第一附属医院肾移植术后血管并发症发生和诊治情况,总结肾移植术后常见血管并发症的诊疗策略,以期为肾移植术后血管并发症的临床诊断和治疗提供参考,降低血管并发症的发生率,提高肾移植疗效和受者生存率。With persistent progress in donor-recipient evaluation criteria,organ procurement and preservation regimens and surgical techniques,the incidence of vascular complication after kidney transplantation has been declined,whereas it is still one of the most severe surgical complications of kidney transplantation,which may lead to graft loss and recipient death,and seriously affect the efficacy of kidney transplantation.Therefore,the occurrence,clinical manifestations,diagnosis and treatment strategies of common vascular complications after kidney transplantation,including vascular stenosis,arterial dissection,pseudoaneurysm,vascular rupture and thrombosis were reviewed in this article.In combination with the incidence,diagnosis and treatment of vascular complications after kidney transplantation in the First Affiliated Hospital of Xi'an Jiaotong University,diagnosis and treatment strategies for common vascular complications after kidney transplantation were summarized,aiming to provide reference for clinical diagnosis and treatment of vascular complications after kidney transplantation,lower the incidence of vascular complications,and improve clinical efficacy of kidney transplantation and survival rate of recipients.

关 键 词：肾移植 血管并发症 血管狭窄 动脉夹层 假性动脉瘤 血栓 供者来源性感染 数字减影血管造影(DSA) 经皮腔内血管成形术 

分 类 号：R617[医药卫生—外科学] R543[医药卫生—临床医学]