多囊肾术前不切原肾同种异体尸肾移植11例报告  

Cadaver kidney transplantation in polycystic kidney patients without removing the original kidneys (report of 11 cases)

作　　者：毕革文[1] 刘洲[1] 孝晨[1] 张靖[1] 姚晓峰[1] 刘磊[1] 缪新文[1] 

机构地区：[1]广州中医药大学祈福医院肾脏中心,广东广州511495

出　　处：《现代泌尿外科杂志》2006年第1期18-19,共2页Journal of Modern Urology

摘　　要：目的探讨多囊肾尿毒症患者肾移植术前不切多囊肾对肾移植的影响。方法对11例移植术前不切多囊肾尿毒症患者,在成功进行肾脏移植后进行经验总结。追踪术后移植肾肾功能恢复及术后3年人/移植肾存活率和术后1年原肾体积及血尿变化情况。结果11例移植术前不切多囊肾的尿毒症患者,术后移植肾肾功能均能顺利恢复,占100%。人/移植肾3年存活率100%,移植后原肾体积逐步缩小,12个月内明显缩小20%-45%,血尿逐渐消失。2例术后因原多囊肾严重感染而手术切除(18%)。结论多囊肾尿毒症患者肾移植术前不切原病变肾也能收到满意的移植效果。Objective To study the influence of retaining the original polycystic kidney on kidney transplantation in urinaemia patients. Methods 11 cases who had kidney transplantation without removing the polycystic kidney was observed. The recovery of the graft function, the 3-year survival rate of the patients and the grafts, the size of the original kidney and the amount of haematuria were analyzed. Results In all cases, the graft function recovered（100%）. The 3-year survival rate of patients and graft were all 100%. After transplantation, the original kidneys were gradually smaller and within 12 months were only 20%-45% of the originalsize, Haematuria gradually disappeared. In 2 cases（18% of the sample）, the polycystic kidneys developed serious infection and were removed. Oonclusion Without removing the original kidndy, satisfactory clinical results can be obtained after kidney transplantation in the polycystic kidney cases.

关 键 词：肾 多囊 肾移植 

分 类 号：R699.2[医药卫生—泌尿科学] R617[医药卫生—外科学]