中国组织工程研究与临床康复第15卷第5期2011–01–29出版JournalofClinicalRehabilitativeTissueEngineeringResearchJanuary29,2011Vol.15,No.5P.O.Box1200,Shenyang110004cn.zglckf.com928SecondDistrict,DepartmentofOrganTransplantation,theFirstAffiliatedHospital,SunYat-senUniversity,Guangzhou510080,GuangdongProvince,ChinaZhangGang☆,Studyingfordoctorate,Physician,SecondDistrict,DepartmentofOrganTransplantation,theFirstAffiliatedHospital,SunYat-senUniversity,Guangzhou510080,GuangdongProvince,China714140910@qq.comCorrespondenceto:FeiJi-guang,Associateprofessor,SecondDistrict,DepartmentofOrganTransplantation,theFirstAffiliatedHospital,SunYat-senUniversity,Guangzhou510080,GuangdongProvince,Chinafeijg@126.comReceived:2010-07-05Accepted:2010-09-03中山大学附属第一医院器官移植科二区，广东省广州市510080张纲☆，男，1981年生，湖南省株洲市人，汉族，中山大学附属第一医院在读博士，医师，主要从事肾移植研究。714140910@qq.com通讯作者：费继光，副教授，中山大学附属第一医院器官移植科二区，广东省广州市510080feijg@126.com中图分类号:R617文献标识码:B文章编号:1673-8225(2011)05-00928-04收稿日期：2010-07-05修回日期：2010-09-03(20100705019/GW·Z)移植肾动脉狭窄10例☆张纲，费继光，陈立中，王长希，邱江，邓素雄，李军，黄刚Transplantrenalarterystenosisin10casesZhangGang,FeiJi-guang,ChenLi-zhong,WangChang-xi,QiuJiang,DengSu-xiong,LiJun,HuangGangAbstractBACKGROUND:Theembolizationremoval,anastomosingthevesselsafterresectingstenoticsegment,orbridgingtherenalarteryandiliacarterywithself-vein,areusedforthetreatmentoftransplantrenalarterystenosis(TRAS).Thoughthesurgeryskillisimproving,somecasesstillsufferedfailureofrenalfunctions.OBJECTIVE:Toinvestigatethecauses,categorization,diagnosis,therapyandthecurativeeffectofTRAS.METHODS:Theclinicaldataof10postrenaltransplantpatientswhogottheirfinaldiagnosisofTRASbetween2002and2010wasretrospectivelyanalyzed,including8malesand2females,agedfrom22to55years,withameanageof36.9years.TheonsettimeofTRASwasfrom5daysto7.5yearsafterrenaltransplantation,while8occurredin6monthsafterrenaltransplantation.ThecolorDopplerultrasonographywasappliedforscreening.Thedigitalsubtractionarteriographywasappliedfordiagnosis.RESULTSANDCONCLUSION:Exceptfor2patients(onerejectedDSA,anotherunderwentopenoperation),alltheother8patientseventuallyunderwentinterventionaltherapy,andgottheirstenosisconfirmedbyarteriography.Thedegreeofstenosiswas40%-80%,withameandegreeof60.3%.Fourpatientsunderwentpercutaneoustransluminalangioplasty(PTA),theother4underwentpercutaneoustransluminalangioplastyandstentplacement(PTAS).Thecurativeeffectofthese7patientswasperfect.5patients’serumcreatininelevelsreturnedtonormal,2patients’droppedtothelevelbeforestenosis.Earlyaftertheinterventionaltreatment,allthe7patientsgoturinaryvolumeincreasingandawellcontrolofthebloodpressure.Duringthefollow-upperiods,noneofthosepatientsshowedanysignalofrestenosisorthrombosisofthetransplantedrenalartery.OnepatientfailedwiththeoperationofPTA,andthetransplantedkidneywasremoved.Theresultsrevealedthat,forthepatientwithTRAS,theonsettime,etiologicalfactorsandthedegreeofstenosis,shouldallbeanalyzed.Weshouldmakeupapropertreatmentprogram,inordertogainthebestcurativeeffect,andmaketheriskminimizedmeanwhile.ZhangG,FeiJG,ChenLZ,WangCX,QiuJ,DengSX,LiJ,HuangG.Transplantrenalarterystenosisin10cases.ZhongguoZuzhiGongchengYanjiuyuLinchuangKangfu.2011;15(5):928-931.[http://www...
