Biến Chứng Ngoại Khoa Sau Ghép Thận

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đình Hiếu Lê, Hoàng Thịnh Lê, Quang Trung Ngô, Hoàng Sáng Nguyễn, Thanh Quang Nguyễn, Hải Phong Trần, Lê Duy Anh Trần, Thanh Phong Trần, Hoàng Minh Trương, Sỹ Vinh Trương

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.129

Bộ sưu tập: Metadata

ID: 339152

Thêm vào giỏ Liên kết toàn văn

- Mục tiêu nhằm: Khảo sát đặc điểm lâm sàng, cận lâm sàng bệnh nhân ghép thận và tỉ lệ các biến chứng ngoại khoa sau ghép thận, kết quả điều trị các biến chứng ngoại khoa tại Bệnh viện nhân dân (BVND) 115.- Đối tượng và phương pháp nghiên cứu: Hồi cứu mô tả hàng loạt ca.- Kết quả: Tuổi trung bình: 43,60 ± 11,97 tuổi (16-76 ) với nam: 220/313 trường hợp (TH) (70,3%) và nữ: 93/313 TH (29,7%). Có 4,2% TH ghép thận lần 2. Lấy thận trái để ghép: 70,6% TH, đặt thận ghép ở hố chậu phải: 94,2% TH. Thận ghép có bất thường mạch máu: 18,21% TH trong đó bất thường ĐM: 11,82%, TM: 6,07% và bất thường cả ĐM và TM: 0,31%. Biến chứng mạch máu (hẹp chỗ nối): 0,95%, huyết khối TM: 0,63%, chảy máu vết mổ: 0,63%. Biến chứng niệu (rò): 0,31%. Gập cuống thận: 0,31%, Biến chứng tụ dịch Lymphocele: 0,63% được điều trị thành công.- Kết luận: Ghép thận tại BVND 115 là hiệu quả, an toàn, tỉ lệ biến chứng ngoại khoa thấp.Abstract- Introduction: To evaluate the clinical features of the recipients and the surgical complications of renal transplantation from living donor andresults of treatment at 115 People’s Hospital.- Materials and Methods: Retrospective 313 consecutive recipients at 115 People’s Hospital- Results: The average age of recipients: 43.60 ± 11.97 years old (16-76 years old), with 220 cases (70.3 %) were male and 93 cases (29.7 %) were female. The second transplant: 4.2% cases, kidney transplant from left kidney: 70.6% cases, Place the transplanted kidney in the right iliac fossa: 94.2% cases. There are 18.21 % had abnormal vascular kidney transplant which abnormal artery is 11.82%, abnormal vein is 6.07% and 0.31% is both. The vascular complications (anastomotic stenosis): 0.95% cases, veinous thrombosis: 0.63% cases, incision bleeding: 0.63% cases. The urologic complications (leak): 0.31%, angulation of the renal peduncle: 0.31% cases, Lymphatic complication: 0.63% with good results of treatment.- Conclusions: The kidney transplantation at 115 people’s Hospital is good results, low rate of surgical complications. DOI: 10.59715/pntjmp.1.1.17

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR