Borrego J, Burgos F J, Galmes I, Orofino L, Rodríguez Luna J M, Marcen R, Fernández E, Escudero A, Ortuño J
Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Actas Urol Esp. 1994 Apr;18(4):253-7.
Exposition of results obtained from the review of the surgical complications found in a series of 479 renal transplantations performed between 1978 and 1992 in our centre, although some of them lack clinical relevance. There was fluid accumulation in 69 patients, distributed between 31 perirenal haematoma. 17 lymphocele, 13 urinoma, 5 perirenal abscesses and 3 mixed. 27.7% required no action. Frequency of renal rupture was 18 cases, 9 due to acute rejection and 9 to vascular thrombosis. Incidence of urinary obstruction was 4.8% with 5.8% of urinary fistula. With regard to the surgical wound, 9 infections, 7 haematomas, 1 eventration and 1 necrotizing fasciitis were observed. Vascular complications consisted in 10 arterial thrombosis, 10 venous thrombosis, 5 mixed thrombosis and 31 arterial stenosis. Treatment instituted for the various cases, its evolution, and an statistical study of risk factors are illustrated.
对1978年至1992年在我们中心进行的一系列479例肾移植手术中发现的手术并发症的回顾结果进行阐述，尽管其中一些缺乏临床相关性。69例患者出现积液，分布在31例肾周血肿、17例淋巴囊肿、13例尿瘤、5例肾周脓肿和3例混合型中。27.7%的患者无需采取行动。肾破裂的发生率为18例，其中9例由于急性排斥反应，9例由于血管血栓形成。尿路梗阻的发生率为4.8%，尿瘘的发生率为5.8%。关于手术伤口，观察到9例感染、7例血肿、1例腹壁疝和1例坏死性筋膜炎。血管并发症包括10例动脉血栓形成、10例静脉血栓形成、5例混合型血栓形成和31例动脉狭窄。阐述了针对各种病例采取的治疗措施、其进展以及危险因素的统计学研究。
