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目的 探讨抗肾内动脉痉挛 (IRAS)在肾移植术中供肾不明原因缺血时的应用价值。方法 回顾性分析抗IRAS在 3 1例肾移植术中供肾不明原因缺血时应用的效果。结果 2 9例肾缺血完全消失 ,证实缺血由IRAS引起 ,术后肾功能完全恢复正常 ,其中 2 3例已随访 1年以上 ,移植肾 1、2、3、4年有功能存活率分别为 91.3 %、78.3 %、65 .2 %、65 .2 % ;治疗无效切除肾脏 2例 ,术后病理检查证实为超急性排斥。结论 在肾移植术中供肾出现不明原因缺血时采用抗IRAS措施 ,对其中的IRAS病例具有诊断和治疗的双重意义。
Objective To investigate the value of anti-renal artery spasm (IRAS) in the treatment of renal ischemia without renal insufficiency. Methods Retrospective analysis of anti-IRAS in 31 cases of renal transplantation in patients with unexplained ischemia in the application of the effect. Results 29 cases of renal ischemia completely disappeared, confirming ischemia caused by IRAS, renal function completely returned to normal, of which 23 cases were followed for more than 1 year, 1, 2, 3, 4 years of functional graft survival Were 91.3%, 78.3%, 65.2%, 65.2%; 2 cases were treated with excision of the kidneys, postoperative pathology confirmed hyperacute rejection. Conclusion Anti-IRAS was used in the treatment of unexplained donor kidney during renal transplantation, which has the dual meaning of diagnosis and treatment for IRAS.