摘要
目的探讨失功能移植肾介入废除术的临床应用价值。方法15例移植肾失功能患者接受肾动脉栓塞术,观察其术后效果,随访6个月～4年。结果11例血压降至正常,3例降压药减量,1例无效;12例患者术后无尿,3例尿量明显减少,蛋白尿明显减轻;5例淋巴细胞群体反应抗体阳性(PRA>20%),其中3例PRA阳性者于术后3周左右转阴;移植肾不同程度萎缩。其中4例分别于术后3～6个月再次肾移植成功,随访1～3年,目前3例情况良好。结论介入栓塞术处理失功能移植肾安全有效,明显减轻失功能肾引起的相关临床症状,为再次肾移植创造条件。
Objective To investigate the significance of renal arterial embolization nephrectomy for treating post-transplanted renal failure. Methods 15 cases of post-transplanted renal failure received renal arterial embolization. The post-procedural efficacies were followed up for about 6 months to 4 years. Results Among the 15 cases, 11 showed blood pressure decreasing to normal level, 3 with reduction of the drug dose for anti-hypertension and 1 of no response. In addition, 12 suffered from postprocedural anuria, and 3 with obvious hypourocrinia associated with significant decrease of proteinuia; 5 with positive lymphcytic population response antigen（PRA 〉 20%）, but turning negative with 3 of them after 3 weeks. All the transplanted kidneys revealed different degrees of atrophy but 4 of them obtained chances of successful retransplantation 3 - 6 months after the procedure, 3 of them with follow up of 1 - 3 years were being well. Conclusions Renal arterial embolization is a safe, efficient measure for treating posttransplanted renal failure with obvious decrease of correlative clinical symptoms and providing conditions for renal retransplantation.
出处
《介入放射学杂志》
CSCD
2008年第7期484-485,共2页
Journal of Interventional Radiology
关键词
肾移植
造影
动脉
栓塞术
Kidney transplantation
Angiography
Renal arterial embolization
