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对54例肾移植后发生的外科问题的处理表明,肾移植后的外科并发症以输尿管并发症最为常见,需及时手术纠正,但大部分输尿管并发症是可以预防的。需外科处理的非外科并发症,移植后早期发生超急排斥、肾动脉栓塞及自发性肾破裂需立即手术。急性肾小管坏死不要轻易切除移植肾。移植后期由慢性排斥所致的移植肾失功能,是否切除移植肾,视停用免疫抑制剂后病人的反应而定。
The surgical treatment of 54 cases of post-renal transplantation showed that surgical complications after renal transplantation were the most common ureteral complications and required timely surgical correction, but most ureteral complications were preventable. Surgical treatment of non-surgical complications, early posttrauma hyperacute rejection, renal artery embolization and spontaneous renal rupture require immediate surgery. Acute tubular necrosis do not easily remove the transplant kidneys. Transplantation late by chronic rejection due to graft failure, whether removal of the transplant kidney, depending on the patient after stopping the immunosuppressive response may be.