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中华移植杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 302 -305. doi: 10.3877/cma.j.issn.1674-3903.2022.05.007

经验交流

移植肾动脉狭窄30例诊疗分析
杨锦然1, 李新长1,(), 杨华1, 万里松1, 王绪杨1   
  1. 1. 330006 南昌,江西省人民医院(南昌医学院第一附属医院)器官移植科
  • 收稿日期:2022-09-16 出版日期:2022-10-25
  • 通信作者: 李新长

Diagnosis and treatment of transplanted renal artery stenosis

Jinran Yang1, Xinchang Li1,(), Hua Yang1, Lisong Wan1, Xuyang Wang1   

  1. 1. Organ Transplantation Department, Jiangxi Provincial People′s Hospital, the First Affiliated Hospital of Nanchang Medical College, Nanchang 330006, China
  • Received:2022-09-16 Published:2022-10-25
  • Corresponding author: Xinchang Li
引用本文:

杨锦然, 李新长, 杨华, 万里松, 王绪杨. 移植肾动脉狭窄30例诊疗分析[J/OL]. 中华移植杂志(电子版), 2022, 16(05): 302-305.

Jinran Yang, Xinchang Li, Hua Yang, Lisong Wan, Xuyang Wang. Diagnosis and treatment of transplanted renal artery stenosis[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2022, 16(05): 302-305.

器官短缺一直是限制器官移植的主要问题,近年来边缘供肾的利用率有所增加,肾移植术后相关并发症发生率亦因此而增加。移植肾动脉狭窄(transplant renal artery stenosis,TRAS)是肾移植术后常见的外科并发症之一,也是导致移植物丢失和早期移植肾功能丧失的主要原因之一,常见于术后3个月至2年,最常见于术后3~6个月,发生率为1%~23%,近年来对于TRAS的报道逐年增多[1,2,3]。Nasserala等[4]认为移植后90 d内确诊的TRAS为早期TRAS。此外,根据狭窄发生的时间不同,TRAS有不同的病因和危险因素[5]。本研究通过回顾性分析江西省人民医院器官移植科收治的TRAS受者发病特点和诊疗经过,总结经验,以期为TRAS临床诊疗提供借鉴,现报道如下。

图1 发生移植肾动脉狭窄受者治疗前CT血管成像检查见移植肾动脉狭窄处呈明显鸟嘴样注:箭头示移植肾动脉狭窄处
图2 发生移植肾动脉狭窄受者治疗前移植肾动脉数字减影血管造影检查结果注:箭头示移植肾动脉狭窄处
图3 发生移植肾动脉狭窄受者治疗后移植肾动脉数字减影血管造影+球囊扩张后结果注:箭头示移植肾动脉狭窄处明显改善
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