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目的:探讨肾动脉瘤的有效治疗手段和血管重建的方法。方法:本组3例患者在经肾动脉造影明确诊断为肾动脉瘤后,采取自体肾移植的方法进行手术治疗,其中2例采用髂内动脉体外血管重建后移植。术后经发射计算机体层摄影(ECT)评价移植肾功能。结果:3例患者在成功接受自体肾移植后,移植肾功能顺利恢复,随访4个月～3年,移植肾功能正常。结论:自体肾移植是治疗肾动脉瘤的一种有效方法,髂内动脉体外血管重建是一种有效的手段。
Objective: To explore the effective treatment of renal aneurysms and vascular reconstruction methods. Methods: Three patients in our group were treated by autologous renal transplantation after renal artery aneurysm was diagnosed by renal artery angiography. Two cases were transplanted after revascularization with internal iliac artery. Postoperative renal allograft function was evaluated by computed tomography (ECT). Results: After 3 years of successful autologous kidney transplantation, the function of the grafted kidney was recovered successfully. The follow-up of 4 months to 3 years and the function of the grafted kidney were normal. Conclusion: Autologous renal transplantation is an effective method for the treatment of renal aneurysm. Vascular reconstruction of the internal iliac artery is an effective method.