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目的 :报告移植肾自发性破裂的病因、临床表现、诊断及治疗体会。方法 :35例患者中 ,手术探查 2 3例(15例保留移植肾 ,用明胶海绵填压及引流处理 ,8例切除移植肾 ) ,12例保守治疗。结果 :8例移植肾切除后行血液透析维持 ,手术保留移植肾 15例及 12例保守治疗患者痊愈出院 ,保留移植肾和保守治疗患者随访 3～ 2 4个月 ,平均 14个月 ,肾功能均良好。结论 :移植肾自发性破裂发生的确切原因尚未清楚 ;此症临床症状典型 ,确诊并不困难。及时发现、加强抗排斥治疗 ,尽早行内、外科联合处理对于移植肾破裂的治疗是重要的 ;保守治疗 ,必要时手术压迫止血是一种有效的治疗方法。
Objective: To report the etiology, clinical manifestations, diagnosis and treatment of spontaneous rupture of renal grafts. Methods: Thirty-five patients were enrolled in this study. Twenty-three patients underwent surgical exploration (15 with preserved graft, packed and drained with gelatin sponge, 8 with grafted kidney) and 12 with conservative treatment. Results: After 8 cases of transplanted nephrectomy hemodialysis was maintained, 15 cases of transplant grafts were preserved and 12 cases of conservative treatment were discharged. Allograft and conservative treatment were followed up for 3 ~ 24 months with an average of 14 months. Renal function All good. Conclusion: The exact cause of spontaneous rupture of graft kidney is not yet clear; the clinical symptoms of this disease are typical, and it is not difficult to confirm the diagnosis. Timely discovery, strengthening anti-rejection treatment, as early as possible line of internal and surgical joint treatment for the treatment of renal allograft rupture is important; conservative treatment, if necessary, surgical compression of hemostasis is an effective treatment.