中国组织工程研究与临床康复2011，Vol.15Issue(44)：8233-8236,4.DOI:10.3969/j.issn.1673-8225.2011.44.017
肾移植后淋巴漏的原因分析
Cause of lymphatic leakage after renal transplantation
董永超 1王养民 1张斌 1李卫平 1周逢海 1常德辉 1乔够梅 1郭雅1
作者信息
- 1. 解放军兰州军区兰州总医院全军泌尿外科中心,甘肃省兰州市730050
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摘要
Abstract
BACKGROUND: In recent years, the complications after renal transplantation have decreased obviously, but there have beenmany reports describing lymphatic leakage after transplantationOBJECTIVE: To investigate the cause of lymphatic leakage after renal transplantation.METHODS: The clinical data of 396 cases of renal transplantation was analyzed. These patients were assigned to two groupsaccording to lymph node swelling around the iliac vessels in transplantation: lymphadenectasis (n=21). Non-swelling group(n=375). The causes of postoperative lymphatic leakage were analyzed.RESULTS AND CONCLUSION: Lymphatic leakage occurred in 27 cases in two groups, with an incidence rate of 6.82%. !n thelymphadenectasis group, five cases presenting with lymphatic leakage, with an incidence rate of 23.81%. Lymphatic leakageoccurred 3 days after transplantation, the average duration of lymphatic leakage was 23 days, and the lymph drainage was191 mL every day. In the non-swelling group. 22 cases presented with lymphatic leakage, with an incidence rate of 5.87%.Lymphatic leakage occurred 6 days after transplantation, the average duration of lymphatic leakage was 11 days, and the lymphdrainage was 96 mL every day. There were significant differences between these two groups (P < 0.01). In the lymphadenectasisgroup, one case suffered from lymph node tuberculosis and lymphatic leakage, nine cases suffered from reactive lymph nodesbut one of them suffered from lymphatic leakage, 11 cases suffered from chronic lymphadenitis, but three cases of them sufferedfrom lymphatic leakage. In the non-swelling group, one case presented with lost function of transplanted kidney and one casedied. These findings suggest that lymphatic leakage after kidney transplantation is related to the nature of lymph nodes, operation,rejection and infection, which affect the survival of human kidney.关键词
淋巴漏/肾移植/病因/诊断/人肾存活分类
医药卫生引用本文复制引用
董永超,王养民,张斌,李卫平,周逢海,常德辉,乔够梅,郭雅..肾移植后淋巴漏的原因分析[J].中国组织工程研究与临床康复,2011,15(44):8233-8236,4.
