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[肾移植的血管并发症]

[Vascular complications of kidney transplantation].

作者信息

Hajri M, Chébil M, Ben Hassin L, Jemni M, Ben Abdallad T, El Ouakdi M, Zmerli S, Ayed M

机构信息

Service d'Urologie, Hôpital Charles-Nicolle, Tunis, Tunisie.

出版信息

J Urol (Paris). 1995;101(5-6):229-33.

PMID:8761876
Abstract

We report a retrospective analysis of 100 renal transplantations, mainly from related living donors. The rate of vascular complications was 9%: one arterial hemorrhage due to partial suture failure; one lymphocele; two arterial thrombi, one in the inferior artery leading to fistulization by ureteral necrosis and death following septic rupture of the artery, and one in the renal artery requiring graft removal; and five arterial stenoses, one which regressed spontaneously, one treated by endoluminal angioplasy, one treated surgically, one controlled by medical treatment and one which could not be treated due to secondary hemodialysis after graft rejection. In this series of 100 transplantations, vascular complications were the cause of 16.5% of deaths and 12.5% of post-graft hemodialysis.

摘要

我们报告了对100例肾移植手术的回顾性分析,这些手术主要来自亲属活体供体。血管并发症发生率为9%:1例因部分缝合失败导致动脉出血;1例淋巴囊肿;2例动脉血栓,1例位于下极动脉,导致输尿管坏死形成瘘管,动脉感染性破裂后死亡,另1例位于肾动脉,需要切除移植肾;5例动脉狭窄,1例自行缓解,1例接受腔内血管成形术治疗,1例接受手术治疗,1例通过药物治疗得到控制,1例在移植肾排斥后因继发性血液透析而无法治疗。在这100例移植手术中,血管并发症导致了16.5%的死亡和12.5%的移植后血液透析。

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