马蹄肾移植2例  

Horseshoe kidney transplantation:a report of 2 cases

作　　者：陈琼 鄢业鸿[1] 蔡泽宇 韩佳良 张行健 肖琦[1] Chen Qiong;Yan Yehong;Cai Zeyu;Han Jialiang;Zhang Xingjian;Xiao Qi(Department of General Surgery,First Affiliated Hospital of Nanchang University,The First Clinical College of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院普外科,南昌大学第一临床医学院,南昌330006

出　　处：《中华器官移植杂志》2024年第11期807-810,共4页Chinese Journal of Organ Transplantation

基　　金：江西省应用研究培育计划(20181BBG78042)。

摘　　要：探讨马蹄肾作为供肾进行肾移植的可行性及经验总结。将1例脑死亡供者捐献的马蹄肾,以原位灌注、整块切取法获取。从肾下极动脉注入亚甲蓝染色,沿染色部位边缘离断峡部后,分为2例供肾,分别植入配型成功的2例受者。肾移植开放血管后,分开后两个供肾均血供良好。围手术期内无出血,尿漏,术后1例受者出现输尿管梗阻,双J管引流无效后行自体输尿管与移植肾肾盂吻合,随访至今2例受者移植肾功能仍保持在稳定状态,恢复正常生活。结合文献分析认为,功能良好的马蹄肾作为供肾进行肾移植是安全可行的,但其术后并发症发生率高于常规的肾移植。To explore the feasibility and experience of kidney transplantation with horseshoe kidney as donor kidney.The horseshoe kidney donated by a brain dead donor was obtained by in-situ perfusion and whole piece incision.After methylene blue staining was injected into the inferior pole artery of the kidney and separated from the isthmus along the edge of the stained site,two kidney donors were divided into two recipients with successful implantation.After renal transplantation,the blood supply of the two donor kidneys was good.During the perioperative period,there was no bleeding or urine leakage.Postoperative ureteral obstruction occurred in one recipient.After the double J-tube drainage was ineffective,autologous ureter was anastomoted with the renal pelvis of the transplanted kidney.Up to now,the renal function of two recipients remained stable.According to literature analysis,kidney transplantation with well-functioning horseshoe kidney as donor kidney is safe and feasible,but its postoperative complication rate is higher than that of conventional kidney transplantation.

关 键 词：肾移植 马蹄肾 评估 

分 类 号：R699.2[医药卫生—泌尿科学]