论文部分内容阅读
一、肾移植术中多支血管的处理: 肾多支血管约占14％。由于肾血管供血区比较单一,不能轻易将某一支小血管结扎,以免造成缺血区。因此在肾移植中遇到多支血管,必须在手术显微镜或放大镜下进行血管改建,才能提高供肾的使用率。肾多支血管改建方法:①多支肾血管带部分大血管瓣,与髂血管端侧吻合;②多支肾血管侧侧吻合呈裤叉状;③极血管与肾血管端侧吻合;④肾小动脉与腹壁下动脉端端吻合;⑤多支肾动脉分别与髂内动脉及其分支端端吻合;⑥多支肾血管分别与髂内、髂外血管端端和端侧吻合。改建血管要求吻合后不漏血,角度自然,血管通畅。二、肾脏体外手术:
First, the treatment of multiple graft in renal transplantation: multiple renal blood vessels account for about 14%. As the renal blood supply area is relatively simple, can not easily be a small blood vessel ligation, so as to avoid ischemic area. Therefore encountered in renal transplantation in multiple blood vessels, vascular surgery must be under a microscope or magnifying glass in order to improve the utilization of the kidneys. Renal multi-vessel reconstruction method: ① multi-branch renal vascular zone with some of the large vascular valve, and iliac artery end to side anastomosis; ② lateral branch of renal vascular was paired legs; ③ polar vessels and renal vascular anastomosis; ④ kidney Arterioles and inferior abdominal artery end anastomosis; ⑤ multiple renal artery and the iliac artery and its branches end anastomosis; ⑥ multiple renal vessels were iliac and external iliac vascular end and anastomosis. Reconstruction of blood vessels required anastomosis without leakage, natural angle, smooth blood vessels. Second, kidney surgery in vitro: