[1]任建庄,梁惠民,吴汉平,等.经皮肾造瘘治疗移植肾积水的疗效观察[J].介入放射学杂志,2008,(12):865.
　REN Jianzhuang,LIANG Huimin,WU Hanping,et al.Evaluation of the therapeutic efficacy of percutaneous nephropyelostomy for hydronephrosis after renal transplantation[J].journal interventional radiology,2008,(12):865.
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经皮肾造瘘治疗移植肾积水的疗效观察()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年12期
页码:
865
栏目:
非血管介入
出版日期:
2008-12-15

文章信息/Info

Title:
Evaluation of the therapeutic efficacy of percutaneous nephropyelostomy for hydronephrosis after renal transplantation
作者:
任建庄; 梁惠民; 吴汉平; 等
４３００２２武汉华中科技大学附属协和医院放射科
Author(s):
REN Jian－zhuang; LIANG Hui－min; WU Han－ping; ZHENG Chuan－sheng; ZHOU Guo－feng; XIA Xiang－wen
Department of Radiology，Union Hospital，Huazhong University of Science and Technology，Wuhan４３００２２，China
关键词:
介入治疗; 输尿管梗阻; 肾移植; 肾积水
分类号:
R６９２.２
文献标志码:
A
摘要:
目的探讨移植肾积水介入治疗的方法及疗效。方法收集１６例右髂窝肾移植术后肾积水患者，B超和X线透视导向下，采用同轴穿刺法进行肾造瘘，然后根据病情选用不同的介入处理。术后观察尿液颜色、尿量，并复查尿常规、肾功能。结果１６例患者造影均显示不同程度肾积水和输尿管梗阻，其中输尿管完全梗阻７例，不完全梗阻９例。行经皮肾外引流术３例，经皮穿刺肾输尿管狭窄段球囊扩张联合内外引流术１３例。患者血清尿素氮和肌酐平均水平术前分别为２８．３mmol／L和５３７．７μmol／L，术后１周分别下降至９．７mmol／L和１４８．６μmol／L。术后B超检查示移植肾积水消失。随访４～４８个月，除１例患者术后２个月因双J管引流不畅复发肾积水而行外引流术外，其余患者均无肾积水复发。结果介入治疗具有操作简便、创伤小和并发症少的特点，是移植肾积水安全和有效的治疗方法。

参考文献/References:

［１］闵志廉．临床泌尿外科学［M］．北京：人民卫生出版社，２００３：５７５－５７６．
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［６］Kim JC，Banner MP ，Ramchandani P，et al．Balloon dilation of ureteral strictures after renal transplantation［J］．Radiology，１９９３，１８６：７１７－７１９．
［７］Benoit G，Alexandre L，Moukarzel M，et al．Percutaneous antegrade dilation of ureteral stricture in kidney transplants［J］．J Urol，１９９３，１５０：３７－３９．
［８］陈根生，刘伟，曾群，等．输尿管狭窄支架置入术的临床应用［J］．介入放射学杂志，２００６，１５：１６９－１７１．
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备注/Memo

备注/Memo:
收稿日期：２００８－０７－２１
更新日期/Last Update: 2008-12-15