亲属活体供肾移植(附3例报告)  

The analysis of living-relative donor kidney transplantation:report of 3 cases

作　　者：孙贵洋[1] 于兵[2] 郑国有[2] 杨连峰[3] 付云萍[4] 

机构地区：[1]延边大学医院泌尿外科 [2]吉林大学第一医院泌尿外科 [3]中国人民解放军第208医院 [4]中国人民解放军933313部队

出　　处：《吉林医学》2006年第11期1329-1330,共2页Jilin Medical Journal

摘　　要：目的:探讨国内亲属活体供肾移植的方法及其临床疗效。方法:分别选择受者同血型的胞姐、母亲及弟弟左肾作为移植肾供体,随访观察移植肾功能及对供者身体的影响情况。结果:减少了供肾热缺血时间,提高了供肾质量,减少了环孢素A(CsA)用量,对供者的健康无较大的影响。结论:亲属活体供肾移植可提高供肾质量,延长肾移植的人/肾存活率,但仍可出现严重的排斥反应,处理不当可导致移植肾失功。严格筛选供者,严格HLA配型及肾动脉造影检查,在保证供肾质量的同时,尽量减少对供者的损伤。Objective To reveal methods and clinical effects of living-reative donor kidney transplantion in our civil. Method The sister, mother and brother have the same bloodtype with the suffers and their left kidneys were choosen as the living-dative donor kidney to be transplanted. We observed the function of the transplanted kidney and the impacts on the health of suppliers. Results The warm ischemia time of donor kidney was decreased, the quality of donor kidney was elevated and the dosage of CsA was decreased. There was no serious impact on the health of the supplier. Conclusion The living-relative donor kidney transplantation can improve the quality of donor kidney and prolong the suffer and kidney survival rate, but it can also appear serious rejection and even lead to the transplantation ivalidation. So select the supplier and mate HLA rigorously is very important.

关 键 词：移植 活体供者 肾 

分 类 号：R699.2[医药卫生—泌尿科学]