小儿肾移植的临床研究(附13例报告)

目的：探讨儿童患者肾移植的术式、术后用药以及术后并发症的处理。方法：分析13例儿童患者肾移植的临床资料。结果：13例儿童患者肾移植1年人／肾存活率均为100％，急性排斥反应发生率为38．4％（5／13），肾小管坏死发生率30．7％（4／13），术后发生肾周积液2例，无其它手术并发症。结论：儿童肾移植的术式应根据受者血管情况选择移植肾动脉与髂内动脉端端或端侧吻合，也可与髂外动脉或髂总动脉端侧吻合。免疫抑制剂用量应比成人稍高。

Clinical study on renal transplantation in child: A report of 13 cases

Objective To investigate the procedures of renal transplantation in child, postoperative medicines and complication management. Method Clinical data of 13 children undergoing renal transplantation were analyzed. Results One-year person/kidney survival rate in 13 children receiving renal transplantation was all 100 %. The occurrence of acute rejection and renal tubular necrosis was 38.4 % (5/13) and 30.7 % (4/13), respectively. Postoperative hydroperinephrosis occurred in 2 cases. No other operative complications occurred. Conclusions Conclusion In the procedures of renal transplantation in child, renal artery should be anastomosized with internal illiac artery end-to-end or end-to-side, or with external illiac artery or common illiac artery end-to-side. The dosage of immunosuppressants should be slightly higher than in adults.