中国临床医学2012，Vol.19Issue(1)：45-47,3.
供肾合并囊肿的亲属肾移植
Donating Kidney with Cysts on the Prognosis of Living-Related Recipients
李金锋 1丰贵文 1王跃 1庞新路 1尚文俊 1刘磊 1丰永花1
作者信息
- 1. 郑州大学第一附属医院肾移植科,河南郑州,450052
- 折叠
摘要
Abstract
Objective:To analyze whether donating kidney with cysts can influence the prognosis of living-related kidney transplantation. Methods; The clinical data of 28 cases of living-related kidney transplantation with cysts from November 2005 to June 2011 in our hospital were retrospectively analysed. Results: There were 12 male and 16 female donors (age ranged from 44 to 64 years, mean age 52. 5 years) , 6 donors arc over 60 years; 21 male and 7 female recipients (age ranged from 20 to 44 years, mean age 26. 4 years). We analyzed the scrum crcatininc levels of them on the 7th day and 1st* 6th, 12th month after surgery. Ultrasound and CT scans revealed 27 cases of simple renal cyst and 1 case of parapclvic cyst. A total of 20 cases of cysts presenting on the surface of the kidney and 7 cases of intraparcnchymal cysts were found. The diameter ranged from 4 mm to 40 mm (mean diameter 23 mm). All 28 kidneys were harvested by open surgery. All donors did not have complications related to the surgery. A total of 20 cases of cysts presenting on the surface of the kidney and 1 case of parapclvic cyst were resected. Dccortication or resection of intraparcnchymal cysts were not performed. All of the 28 recipients were carefully fol-lowcd-up. The scrum crcatininc levels were 148 + 42 jumol/L, 118 + 54 jumol/L, 105 + 39 jumol/L and 110 + 45 jumol/L on the 7th day and 1st, 6th, 12th month after surgery. The recurrence of renal cysts after renal cystcctomy and the augment of diameter intraparcnchymal cysts were not found during the follow-up with ultrasound. Conclusions; Renal cyst should not be considered as barriers to organ donation.关键词
肾移植/亲属活体供者/肾囊肿Key words
Kidney transplantation/ Living-related donors/ Renal cysts分类
医药卫生引用本文复制引用
李金锋,丰贵文,王跃,庞新路,尚文俊,刘磊,丰永花..供肾合并囊肿的亲属肾移植[J].中国临床医学,2012,19(1):45-47,3.
