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髂内动脉在肾移植术后髂外动脉出血中的应用
引用本文:周高标,汪泽厚,郭和清,洪泉,孙斌,潘广新. 髂内动脉在肾移植术后髂外动脉出血中的应用[J]. 临床泌尿外科杂志, 2012, 0(2): 112-113,116
作者姓名:周高标  汪泽厚  郭和清  洪泉  孙斌  潘广新
作者单位:空军总医院泌尿外科
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。

关 键 词:肾移植  髂外动脉  出血

Use of internal iliac arteryforexternal iliac artery mycotic hemorrhage after kidney transplantation
ZHOU Gaobiao WANG Zehou GUO Heqing HONG Quan SUN Bin PAN Guangxin. Use of internal iliac arteryforexternal iliac artery mycotic hemorrhage after kidney transplantation[J]. Journal of Clinical Urology, 2012, 0(2): 112-113,116
Authors:ZHOU Gaobiao WANG Zehou GUO Heqing HONG Quan SUN Bin PAN Guangxin
Affiliation:ZHOU Gaobiao WANG Zehou GUO Heqing HONG Quan SUN Bin PAN Guangxin (Department of Urology,Air Force General Hospital,Beijing,100142,China)
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.
Keywords:transplantation  external iliac artery  hemmorrhge
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