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中华移植杂志(电子版) ›› 2022, Vol. 16 ›› Issue (06) : 365 -368. doi: 10.3877/cma.j.issn.1674-3903.2022.06.007

经验交流

儿童肾移植受者髂内动脉袖片技术完成儿童供肾移植动脉成形术12例
杨文博1, 赖世聪1, 张晓鹏1, 黄子雄1, 张维宇1, 张健2, 毕如玫2, 于涛3, 王强1,()   
  1. 1. 100044 北京大学人民医院泌尿外科
    2. 100050 首都医科大学附属北京友谊医院泌尿外科
    3. 100039 北京,解放军总医院第三医学中心器官移植管理科
  • 收稿日期:2022-12-10 出版日期:2022-12-25
  • 通信作者: 王强
  • 基金资助:
    国家自然科学基金项目(82070765); 医学免疫学国家重点实验室开放课题(NKMI2020K05); 蛋白质组学国家重点实验室开放课题(SKLPO202009)

Application of recipient internal iliac artery carrel patch in artery reconstruction during pediatric kidney transplantation: 12 cases

Wenbo Yang1, Shicong Lai1, Xiaopeng Zhang1, Zixiong Huang1, Weiyu Zhang1, Jian Zhang2, Rumei Bi2, Tao Yu3, Qiang Wang1,()   

  1. 1. Department of Urinary Surgery, Peking University People′s Hospital, Beijing 100044, China
    2. Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
    3. Organ Transplant Management Division, Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
  • Received:2022-12-10 Published:2022-12-25
  • Corresponding author: Qiang Wang
引用本文:

杨文博, 赖世聪, 张晓鹏, 黄子雄, 张维宇, 张健, 毕如玫, 于涛, 王强. 儿童肾移植受者髂内动脉袖片技术完成儿童供肾移植动脉成形术12例[J]. 中华移植杂志(电子版), 2022, 16(06): 365-368.

Wenbo Yang, Shicong Lai, Xiaopeng Zhang, Zixiong Huang, Weiyu Zhang, Jian Zhang, Rumei Bi, Tao Yu, Qiang Wang. Application of recipient internal iliac artery carrel patch in artery reconstruction during pediatric kidney transplantation: 12 cases[J]. Chinese Journal of Transplantation(Electronic Edition), 2022, 16(06): 365-368.

儿童肾移植是儿童终末期肾病(end-stage renal disease,ESRD)首选的治疗方式[1,2,3]。儿童受者由于血管纤细,移植肾动脉重建成为移植成功的一个关键技术问题。良好的动脉重建可以保证移植肾充足的血流灌注,避免吻合口狭窄和动脉血栓形成以及受者远期生长发育不对称导致的供受者动脉相对狭窄等临床问题[4]。公民逝世后器官捐献供肾由于获取方便,常可以带腹主动脉袢,以增加吻合宽度。如何充分地利用供者动脉袢、简化吻合难度和降低血管并发症是儿童肾移植的技术难点。本中心采用肾移植受者髂内动脉袖片(internal iliac artery carrel patch,IIACP)技术对体质量大于15 kg的儿童受者完成移植肾动脉血管重建,取得很好的临床疗效,为儿童肾移植动脉血管重建提供了一种有效、便捷的吻合策略,现报道如下。

图1 带腹主动脉袢的儿童供肾动脉与儿童受者髂内动脉袖片端端吻合示意图注:a.髂总动脉;b.髂外动脉;c.髂内动脉;d.供肾动脉;e.肾脏
图2 传统儿童供肾动脉与儿童受者髂内动脉端端吻合示意图注:a.髂总动脉;b.髂外动脉;c.髂内动脉;d.供肾动脉;e.肾脏
23
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