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Vascular Complications in Kidney Transplant Patients

الاختلاطات الوعائية عند مرضى زرع الكلية

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 Publication date 2011
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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vascular complications are impotent after kidney Transplantation, They influence on patient and graft survival . There are a lot of factors that play are a role in incidence of these vascular compilations as technical and anatomical ones . the aim is to determine the incidence of vascular complications in kidney transplant patients in addition to signs and symptoms related to these complications, diagnosis modalities, management and results.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة الاختلاطات الوعائية التي تحدث بعد عمليات زرع الكلية وتأثيرها على بقاء المريض والطعم. الهدف الرئيسي من البحث هو تحديد نسبة حدوث هذه الاختلاطات، الأعراض والعلامات المميزة لها، وسائل التشخيص، طرق العلاج، والنتائج. تم إجراء دراسة راجعة على 288 مريضًا في وحدة زرع الكلية في مشفى المواساة الجامعي بين يناير 2007 وديسمبر 2009، حيث تم استخدام الإيكو دوبلر كوسيلة تشخيصية رئيسية. النتائج أظهرت نسبة حدوث خثرة شريان كلوي بنسبة 1.7%، وخثرة وريد كلوي بنسبة 1.3%، وتضيق شريان كلوي بنسبة 2.4%. تم علاج هذه الحالات بطرق متعددة منها التوسيع بالبالون عبر الجلد، إعادة المفاغرة الوعائية، واستئصال الخثرة الوعائية. الاستنتاج الرئيسي هو أن نسبة حدوث الاختلاطات الوعائية في هذه الدراسة كانت أقل من النسب المذكورة في الدراسات العالمية، ويرجع ذلك إلى استخدام متبرعين أحياء فقط وعدم استخدام متبرعين جثث. بالإضافة إلى ذلك، كان التدخل الجراحي المبكر فعالًا في إدارة هذه الاختلاطات والحفاظ على الطعم.
Critical review
دراسة نقدية: على الرغم من أن الدراسة تقدم معلومات قيمة حول الاختلاطات الوعائية بعد زرع الكلية، إلا أنها تعتمد بشكل كبير على الإيكو دوبلر كوسيلة تشخيصية وحيدة، مما قد يحد من دقة التشخيص. كان من الممكن تحسين الدراسة باستخدام تقنيات تشخيصية إضافية مثل مرنان الأوعية أو الطبقي المحوري متعدد الشرائح. كما أن الدراسة تفتقر إلى تحليل مفصل للعوامل المؤثرة الأخرى مثل نوع المثبطات المناعية المستخدمة وتأثيرها على نسبة حدوث الاختلاطات. بالإضافة إلى ذلك، كان من المفيد تضمين مقارنة مع بيانات من متبرعين جثث للحصول على صورة أكثر شمولية.
Questions related to the research
  1. ما هي نسبة حدوث خثرة الشريان الكلوي في الدراسة؟

    نسبة حدوث خثرة الشريان الكلوي في الدراسة كانت 1.7%.

  2. ما هي الوسيلة التشخيصية الوحيدة المستخدمة في الدراسة؟

    الوسيلة التشخيصية الوحيدة المستخدمة في الدراسة هي الإيكو دوبلر.

  3. ما هي النسبة المئوية لتضيق الشريان الكلوي بين المرضى؟

    نسبة تضيق الشريان الكلوي بين المرضى كانت 2.4%.

  4. لماذا كانت نسبة حدوث الاختلاطات الوعائية أقل من النسب العالمية في هذه الدراسة؟

    كانت نسبة حدوث الاختلاطات الوعائية أقل لأن الدراسة اعتمدت على متبرعين أحياء فقط ولم تستخدم متبرعين جثث.


References used
Akbar SA, Jafri SZ, Amendola MA, et al: complication of renal transplantation . Radiographics, 2005 25 : 1335 – 1356
Audard V,Matignon M,Henery F,et al: Risk factors and long-term outcome of transplant renal artery stenosis in adult recipient after treatment by percutaneous trans luminal angioplasty. Am J Transplant,2006, 6: 95-99
Baxter GM: Imaging in renal transplantation . Ultrasound,2006, Q19: 123-138
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