KHẢO SÁT MỘT SỐ ĐẶC ĐIỂM MẠCH MÁU VÙNG CHẬU CỦA NGƯỜI NHẬN THẬN TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: Describe the characteristics of iliac vessels and study several factors related iliac atherosclerosis of recipients from living donors at 103 Military Hospital. Patients and method: Including 127 patients who received kidney transplantation from living donors from December 2019 to December 2020. Methods: prospective, cross-sectional, non-controlled cohort. Results: Including 127 patients aged 18 to 66, male/female ratio: 88/39 (69,3%/30,7%). On Doppler ultrasound: mean diameter of the internal iliac artery: 6,27 ± 1,32 mm; external iliac artery: 7,57 ± 1,15 mm; common iliac artery: 9,81 ± 1,70 mm. There were 14 cases of iliac artery atherosclerosis pre-surgery. During surgery: thick and hard artery wall: internal iliac artery 2,36%, external iliac artery: 0,79%; atherosclerotic plaque in internal iliac artery + external iliac artery: 14 cases (11,02%); atherosclerotic plaque + thickening-hardening of the vessel wall: 5 cases (3,94%). External iliac vein: there were thrombosis in 3 cases (2,36%); sclerosis - shrinking: 1 case (0,79%). The rate of atherosclerosis increases with age and duration of hemodialysis. Conclusion: On Doppler ultrasound: mean diameter of internal iliac artery: 6,27 ± 1,32 mm; external iliac artery: 7,57 ± 1,15 mm, iliac artery atherosclerosis: 11,02%. Characteristics of the iliac vessels in surgery: thick and hard arterial wall: 3,15%; atherosclerotic plaque: 14,96%. External iliac vein: thrombosis: 2,36%, sclerosis - shrinkin: 0,79%. The rate of atherosclerosis increases with age and duration of hemodialysis. The characteristics of iliac vessels of kidney recipients affect the vascular suture technique in kidney transplantation.