【摘要】 目的　提高移植肾动脉血栓形成的诊治水平。方法　回顾分析 7例 8次移植肾动脉血栓形成的病因、诊断和治疗。结果　通过彩色多普勒和 /或肾动脉造影确诊 ,除 2例术后远期发生者外 ,其余 5例早期发生者均行肾切除术 ,其中 2例取出了吻合口及其附近髂外动脉内的血栓 ,恢复了同侧下肢的血液供应 ;1例再次肾移植者术后 3年再次发生肾动脉栓塞。结论　该并发症预后差 ,应以预防为主 ,早期诊断和及时手术治疗是关键更多还原

【Abstract】 Objective To improve the diagnosis and treatment of allografted renal artery thrombosis. Methods Seven cases (8 times) of the allografted renal artery thrombosis were studied retrospectively from 636 (660 times) recipients. Results The diagnosis was confirmed by color Doppler ultrasound and(or) renal arteriograhpy. Except 2 cases who occurred in later period of transplantation, other 5 cases of allografted renal artery thrombosis occurring at the early state all underwent graft nephrectomy. Two out of the 5 cases were subjected to the thrombectomy in ipsilateral A. external iliac and the blood supply of ipsilateral A. femoralis was recovered, and thrombosis reoccurred in one of them 3 years after renal re transplantation. Conclusions allografted renal artery thrombosis had a poor prognosis. The prevention is very important for the disease. Early diagnosis and immediate operation are key for allografted renal artery thrombosis.更多还原