髂内动脉在肾移植术后髂外动脉出血中的应用

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收稿日期: 2011-11-12

Use of internal iliac arteryforexternal iliac artery mycotic hemorrhage after kidney transplantation

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Received Date: 12 November 2011

摘要: 目的:探讨肾移植术后感染性外动脉移植肾动脉吻合口出血的处理。方法:采用自体髂内动脉片或段修补、串接治疗髂外动脉吻合口大出血。结果:修复后的髂外动脉血流通畅,患侧下肢血供良好。结论:感染性移植肾动脉髂外动脉吻合口出血为肾移植术后严重并发症,单纯缝扎止血常难以奏效,与其他方法比较,自体髂内动脉片或段修补、串接修补缺损的髂外动脉操作简单,效果非常满意。
- 肾移植 /
- 髂外动脉 /
- 出血
Abstract: Objective:To investigative the management of external iliac artery mycotic hemorrhage after kidney transplantation.Method:Managing external iliac artery mycotic hemorrhage after kidney transplantation by using hypogastric artery autograft was reported with literature review.Result:The blood flow through the repaired external iliac artery and the blood supply to the lower extremity was adequate.Conclusion:External iliac artery mycotic hemorrhage after kidney transplantation is a serious and fatal complication.Simple arterial repair is usually not effective.Resection of the diseased mycotic segment of the external iliac artery with repairing of the gap with a hypogastric artery autograft is a rational,feasible and simple method .The procedure is highly recommended.
- transplantation /
- external iliac artery /
- hemmorrhge

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