中国组织工程研究与临床康复2009，Vol.13Issue(44)：8737-8740,4.DOI:10.3969/j.issn.1673-8225.2009.44.031
亲属活体供肾移植40例临床分析
Clinical analysis of living-related donor kidney transplantation in 40 cases
李聪然 1石炳毅 1蔡明 1李州利 1王爽1
作者信息
- 1. 解放军总医院第二附属医院全军器官移植中心,北京市,100091
- 折叠
摘要
Abstract
To summarize clinical observation points of living related donor kidney transplantation in 40 cases,as well as the correlation of donor selection,the matching results with efficacy of transplantation.Forty cases underwent living related donor kidney transplantation were selected from the Second Hospital Affiliated to General Hospital of Chinese PLA from January 2007 to July 2008 and were analyzed retrospectively,among these cases,2 were marital donors,38 were relative donors,38 were in the same blood group of ABO,2 were compatible cases;1 was matched in human leukocyte antigen,4 were mismatched in four sites,20 were mismatched in two sites,16 were mismatched in one site;37 cases donated the left kidney,while 3 cases the right kidney.Thirty nine recipients returning to normal renal function following renal transplantation was (6.17 ±1.91)days,1 cases was present with delayed recovery of graft renal function,2 cases occurred cytomegalovirus infection after surgery and recovered after ganciclovir treament,2 cases occurred pulmonary infection and were healed after reducing the dosage of immunosuppressants and anti-infection treatment,2 patients occurred acute rejection reaction within 3 months after surgery and reversed after intravenous glucocorticoid therapy.All of the donors were successfully restored after surgery,discharged from the hospital in 7 to 10 days,the reexamination of hepatic and renal function were normal.It is suggested that the completely evaluation before transplantation,observing and dealing with the special circumstances before and after the surgery of all donors and recipients are the key of living-related donor kidney transplantation prognosis,also have important significance to raise survival rates and reduce infection rates.关键词
肾移植/活体供者/亲属分类
医药卫生引用本文复制引用
李聪然,石炳毅,蔡明,李州利,王爽..亲属活体供肾移植40例临床分析[J].中国组织工程研究与临床康复,2009,13(44):8737-8740,4.
