移植肾动脉狭窄的介入治疗  

Interventional Management of Transplanted Renal Artery Stenosis

作　　者：梅雀林[1] 李彦豪[1] 何晓峰[1] 陈勇 卢伟[1] 赵剑波[1] 

机构地区：[1]第一军医大学附属南方医院介入科,广州510515

出　　处：《临床放射学杂志》2004年第2期147-149,共3页Journal of Clinical Radiology

摘　　要：目的　探讨移植肾动脉狭窄 (TRAS)的介入治疗方法。资料与方法　采用经皮血管内成形术 (PTA)和 /或内支架治疗 2 0例TRAS患者 ,对其技术成功率、再狭窄率以及狭窄类型对介入治疗的影响进行分析。结果　 (1)PTA和内支架治疗TRAS的技术成功率分别为 71.4 %、10 0 % ,再狭窄率分别为 2 0 %、2 2 .2 %。(2 )Ⅰ型、Ⅱ型、Ⅲ型狭窄介入治疗的技术成功率分别为 92 .9%、85 .7% ,0 ,再狭窄率分别为 2 3.1%、16 .7%。结论　 (1)Ⅰ型、Ⅱ型狭窄为介入治疗的良好适应证。 (2 )PTA依然为TRAS的首选方法 。Objective To discuss the interventional therapy for the transplanted renal artery stenosis (TRAS).Materials and Methods Twenty patients with TRAS were treated with percutaneous transluminal angioplasty (PTA) and/or stenting. The technical success, restenosis and the influence of stenotic type on therapeutic result were analyzed.Results (1) The technical success rate was 71.4% and 100%, while the restenosis rate was 20% and 22.2%, in PTA group and in stent group, respectively. (2) For type Ⅰ, Ⅱ and Ⅲ stenosis, the technical success rate was 92.9%, 85.7% and 0%, while the restenosis rate was 23.1%, 16.7% and 0%, respectively.Conclusion (1) TRAS of type Ⅰ and Ⅱ is suitable for interventional therapy. (2) PTA is the choice of treatment for TRAS and stent can be used as its supplementary means.

关 键 词：移植肾动脉狭窄 介入治疗 内支架 肾移植 适应证 

分 类 号：R699.2[医药卫生—泌尿科学]