78例活体肾移植供体安全性的随访观察  

The Safety and the Long-term Effect of 78 Living Kidney Donors:5 Years Follow-up

作　　者：王绪雷[1] 胡波[1] 单可树[1] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250021

出　　处：《泌尿外科杂志（电子版）》2010年第4期27-29,共3页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的探讨亲属活体肾移植供体肾切除对供体的安全性和长期影响。方法观察78例活体肾移植供体选择、供肾的切除及供体长期随访。结果 78例供体肾切除手术全部成功,其中切取右肾32例,左肾46例。测术前及术后1天、1周的血肌酐(Cr)、尿素氮(BUN)及血压情况,发现手术前后Cr、BUN、血压均有变化,其中Cr的变化较为明显。78例供体术后随访2～5年,发现供体Cr、BUN、血压及尿蛋白均有变化,但各观察指标的变化无显著性差异(P>0.05)。结论从近5年的随访来看,活体供肾肾切除手术是安全可行的,术前详细地检查供体各项指标,术中仔细操作,以及随访对于保障供者的安全有十分重要的意义。Objective To explore the safety and the long-term effect of the living kidney donors after nephrectomy. Methods To analyze the selection,operation and long-term follow-up of living donors.Results The operations of 78 living donors were successful,in which 32 cases were on the right,and the other 46 cases were on the left.The serum creatinine(Cr),Blood urea nitrogen(BUN)and blood pressure(BP)of the donors before and after nephrectomy were recorded.The changes of Cr,BUN and BP were recorded.All these 78 living donors were followed up for 2～5 years.The changes of Cr,BUN,BP and urine protein in the cases were observed during the follow-up.But the differences were not significant statistically(P>0.05).Conclusions The living donor nephrectomy is safe and it is very important to examine living donor before operation.

关 键 词：肾移植 供体 随访 

分 类 号：R699[医药卫生—泌尿科学]