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肾移植并发症的介入放射学治疗：图文综述

Interventional radiological treatment of renal transplant complications: a pictorial review.

作者信息

Iezzi Roberto, la Torre Michele Fabio, Santoro Marco, Dattesi Roberta, Nestola Massimiliano, Posa Alessandro, Romagnoli Jacopo, Citterio Franco, Bonomo Lorenzo

机构信息

Department of Radiological Sciences, Institute of Radiology, "A. Gemelli" Hospital - Catholic University, Rome 00168, Italy.

Department of Surgical Science, Renal Transplantation Unit, "A. Gemelli" Hospital - Catholic University, Rome 00168, Italy.

出版信息

Korean J Radiol. 2015 May-Jun;16(3):593-603. doi: 10.3348/kjr.2015.16.3.593. Epub 2015 May 13.

DOI:10.3348/kjr.2015.16.3.593
PMID:25995689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4435990/
Abstract

Renal transplantation is the treatment of choice for patients with chronic renal failure, which produces a dramatic improvement in the quality of life and survival rates, in comparison to long-term dialysis. Nowadays, new imaging modalities allow early diagnosis of complications, and thanks to the recent developments of interventional techniques, surgery may be avoided in most cases. Knowledge in the types of renal transplant complications is fundamental for a correct pre-operative planning. In this article, we described the most common or clinically relevant renal transplant complications and explained their interventional management.

摘要

肾移植是慢性肾衰竭患者的首选治疗方法，与长期透析相比，它能显著提高生活质量和生存率。如今，新的成像方式可实现并发症的早期诊断，并且由于介入技术的最新发展，大多数情况下可避免手术。了解肾移植并发症的类型是正确进行术前规划的基础。在本文中，我们描述了最常见或临床上相关的肾移植并发症，并解释了它们的介入治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/88864e6ac4b4/kjr-16-593-g014.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/9107c7b1cd07/kjr-16-593-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/88864e6ac4b4/kjr-16-593-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/92ee1da2e3f8/kjr-16-593-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/012e86a55b2b/kjr-16-593-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/0835e296e771/kjr-16-593-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/71705b87fab7/kjr-16-593-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/4675bcad3f7d/kjr-16-593-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/72779fb33f77/kjr-16-593-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/aa249ece9a72/kjr-16-593-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/8aae0e117ce1/kjr-16-593-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/ba642e3d52bc/kjr-16-593-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/4c376e66fa0f/kjr-16-593-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/4863788eebfe/kjr-16-593-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/ee21267c0891/kjr-16-593-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/9107c7b1cd07/kjr-16-593-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46d/4435990/88864e6ac4b4/kjr-16-593-g014.jpg

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本文引用的文献

1
Salvage of external iliac artery dissection immediately after renal transplant.肾移植术后立即对髂外动脉夹层进行挽救治疗。
Exp Clin Transplant. 2013 Jun;11(3):274-7. doi: 10.6002/ect.2012.0152.
2
Kidney transplant anastomosis: internal or external iliac artery?肾移植吻合术：髂内动脉还是髂外动脉？
Urol J. 2009 Fall;6(4):260-6.
3
Management of vascular and nonvascular complications after renal transplantation.肾移植术后血管及非血管并发症的管理
超声评估肾移植并发症——液体积聚的发生率及演变情况。
J Ultrason. 2018;18(73):126-132. doi: 10.15557/JoU.2018.0018.
4
Early urological complications after kidney transplantation: An overview.肾移植术后早期泌尿系统并发症：综述
World J Transplant. 2018 Sep 10;8(5):142-149. doi: 10.5500/wjt.v8.i5.142.
5
A nationwide analysis of re-operation after kidney transplant.一项关于肾移植术后再次手术的全国性分析。
Can Urol Assoc J. 2017 Nov;11(11):E425-E430. doi: 10.5489/cuaj.4369.
Tech Vasc Interv Radiol. 2009 Dec;12(4):240-62. doi: 10.1053/j.tvir.2009.09.006.
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Vascular complications in renal transplantation: a single-center experience in 1367 renal transplantations and review of the literature.肾移植中的血管并发症：1367例肾移植的单中心经验及文献综述
Transplant Proc. 2009 Jun;41(5):1609-14. doi: 10.1016/j.transproceed.2009.02.077.
5
Ureteral complications in renal transplant recipients successfully treated with interventional radiology.肾移植受者输尿管并发症经介入放射学成功治疗
Transplant Proc. 2008 Nov;40(9):3170-2. doi: 10.1016/j.transproceed.2008.08.040.
6
Restoration of failed renal graft function after successful angioplasty of pressure-resistant renal artery stenosis using a cutting balloon: a case report.使用切割球囊成功血管成形术治疗耐压力性肾动脉狭窄后，恢复失败肾移植功能：一例报告
Cardiovasc Intervent Radiol. 2009 May;32(3):548-53. doi: 10.1007/s00270-008-9420-7. Epub 2008 Aug 28.
7
Efficacy and safety of Palmaz stent implantation in the treatment of renal artery stenosis in renal transplantation.帕尔马兹支架植入术治疗肾移植中肾动脉狭窄的疗效与安全性。
Transplant Proc. 2005 Mar;37(2):1047-8. doi: 10.1016/j.transproceed.2004.12.229.
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