亲属活体肾移植(附3例报告)  

Kidney transplantation with living donar from kinship (Report of 3 case)

作　　者：赵学义[1] 李德谦[1] 李国毅[1] 张弧 王业明[1] 王存生 李玉梅[1] 郭跃虎[1] 田晋洪[1] 宁林红[1] 刘建武[1] 

机构地区：[1]武警山西总队医院,030006

出　　处：《现代泌尿外科杂志》2000年第4期208-210,共3页Journal of Modern Urology

摘　　要：本文报告3例尿毒症病人接受了父亲或母亲提供的肾脏而行肾移植,移植方式同尸体肾。供肾取自左侧或右侧,术前对供者的肾功能进行系统检查并行肾动脉造影,HLA配型。免疫抑制剂使用与尸体肾大致相同。随访3月～6月。结果表明3例供体围手术期平稳渡过,9～10天出院,复查肾功能各项指标均未发现异常,现已恢复正常生活、工作。3例受者均于开放肾血流后2min内泌尿,2例术后3天内血肌酐达正常水平,肌酐清除率3周时80ml/min;1例术后当天出现短暂肾功能延迟,术后1周血肌酐达正常值,3周时肌酐清除率60ml/min。因而认为亲属活体肾移植供体是安全的,且生存质量良好。受者肾功能恢复快,质量稳定。亲属供肾扩大了肾源,可选择性实施。3 patients with uremia underwent kidney transplantation. The donor were patient's parents. The donor's kidney function have been evaluated. HLA match, immunosuppression therapy was used. Follow-up time was 3-6 months. 3 donor were well recovery during the operative and postoperative, and have a normal kidney function in follow-up. All transplanted kidney secreted urine in 2 min after the blood supply were return to normal. The SCr in 2 cases have been regulated in 3d and CO was 80ml/min on 3 week postoperative. But 1 case the urine were reduced obviously in first day posttransplantation. The SCr have been regulated in 3d and CCr was 69mi/min on 3 week postoperation. The data shows kidney transplantation with living donor from kinship was safe during operation and were in good heelth postoperation. The patients with uremia have fine kidney function and are being maintained in follow-up.

关 键 词：肾移植 病例报告 尿毒症 肾小球 

分 类 号：R699.2[医药卫生—泌尿科学]