摘要
目的 探讨介入治疗对移植肾积水的有效性和安全性。方法 7例肾移植术后发生积水者行介入治疗 ,其中输尿管膀胱吻合处狭窄 6例 ,结石梗阻 1例。 2例行经皮穿刺肾引流术、1例行狭窄段输尿管顺行球囊扩张术 ,4例行顺行球囊扩张 +双J管植入术。术后平均随访 31个月。结果 介入治疗手术成功率为 1 0 0 % ,无 1例发生并发症。血肌酐由术前 (434 .0± 66 .5) μmol/L ,下降至术后 (1 39.9± 50 .4) μmol/L ,6例随访 4～ 51个月无复发。 结论 介入治疗移植肾积水是安全和有效的首选方法。采用B超导向和同轴穿刺技术可以提高肾盂穿刺的准确性与安全性 ,减少患者的痛苦。
Objective To explore the safety and efficacy of interventional therapy for ureteral obstructions in renal transplant patients.Methods Seven cases of ureteral obstructions following renal transplants were treated with interventional therapy for ureterovesical junction stenosis (6 cases) and calculus obstuction (1 case). Two cases received percutaneous pelvis drainage, one percutaneous antegrade endoluminal balloon dilation of stenosis, 4 antegrade endoluminal dilation and double J catheter implantation. Postoperative follow up lasted 31 months.Results The successful rate of interventional therapy was 100%. No complication occurred. Serum creatin was ( 434.0 ± 66.5 )?μmol/L before therapy, decreased to ( 139.9 ± 50.4 )?μmol/L after therapy. No hydronephrosis was seen in 6 cases during a follow up of 4 to 51 months.Conclusions Interventional therapy for ureteral obstructions following renal transplant is safe and effective. Coaxial puncture technique combined with ultrosound guiding could improve the security and accuracy in renal calices puncture.
出处
《中华器官移植杂志》
CAS
CSCD
北大核心
2002年第2期113-115,共3页
Chinese Journal of Organ Transplantation
