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肾移植是20世纪医学史上的一件大事,它与透析疗法相结合是目前治疗不可逆慢性肾功能衰竭的一种主要和有效的方法。移植肾动脉狭窄(renal transplant arterystenosis,RTAS)是肾移植后并不少见的并发症,总发生率约为10%。RTAS 造成的移植肾功能紊乱和高血压的发生率可以高达25%。1979年以来,经皮肾动脉内成形术(PTRA)已经成功地应用于治疗RTAS 并替代了血管外科手术。本文重点介绍10年来介入性放射学在RTAS 诊断和治疗中的应用。
Kidney transplantation is a major event in the medical history of the 20th century, and its combination with dialysis therapy is currently a major and effective treatment for irreversible chronic renal failure. Renal transplant arteriostenosis (RTAS) is a rare complication after renal transplantation, with a total incidence of about 10%. Transplant renal failure caused by RTAS and the incidence of hypertension can be as high as 25%. Since 1979, percutaneous transrenial renal angioplasty (PTRA) has been successfully used to treat RTAS and replace vascular surgery. This article focuses on 10 years of interventional radiology in the diagnosis and treatment of RTAS.