活体亲属供肾移植11例报告

目的：分析总结活体亲属供肾肾移植的临床经验。方法：回顾分析11例活体亲属供肾肾移植的临床资料，均按常规行肾移植术。结果：11例供肾者均顺利度过围手术期；受体随访3～66个月，1例因经济费用问题无法继续治疗而于术后第7个月死亡，1例患者肾功能正常3年余后不规范服用免疫抑制剂致移植肾失功而行第2次同种异体尸肾移植术，术后仍恢复良好。其余9例至今肾功能正常。结论：活体亲属供肾肾移植扩大了供肾来源，缩短了等待时间，HLA配型满意，提高了移植肾质量，可减少免疫抑制剂的使用并降低医疗费用。

Living Relative Kidney Transplantation (Report of 11 Cases)

Objective:To analyze and summarize clinical experience in living relative kidney transplantation.Methods:Conventional renal transplantation is practised to analyze and review the clinical data of 11 cases of living relative kidney transplantation in our center.Results:All 11 patients recovered well from the operation during the follow-up 3 to 66 months.One of them deceased in the 7th month after the operation for financial difficulties.Another patient's transplanted kidney functioned normally for 3 years,but then failed as a result of wrong use of immunological inhibitor.The second homologous renal transplantation was performed after the allograft dysfunction.The patient had a good recovery.The rest of patients' kidneys functioned well.Conclusions:Living relative kidney transplantation has its own advantages with more sources of kidneys,less waiting time,satisfied HLA typing of donor-recipient,increased quality of transplanted kidney and less application of immunological inhibitor accompanied with reduced medical expenses.