| 亲属肾移植供体术后早期肾功能的观察 |
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| 引用本文： | 王强,李晓利,蔡明,钱叶勇,李州利,许亮,石炳毅. 亲属肾移植供体术后早期肾功能的观察[J]. 军医进修学院学报, 2011, 32(1): 44-45,62 |
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| 作者姓名： | 王强 李晓利 蔡明 钱叶勇 李州利 许亮 石炳毅 |
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| 作者单位： | 1. 解放军第309医院泌尿一科,北京,100091
2. 解放军第309医院高干病房,北京,100091 |
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| 摘 要： | 目的总结分析亲属肾移植供体术后早期肾功能的变化规律。方法回顾性分析我院2006年1月-2009年8月间85例亲属肾移植供体术前、术后血肌酐（Cr）、肾小球滤过率（GFR）的临床资料。我们选用99Tcm-DTPA肾动态显像检测GFR。并观察15例捐赠者术前、术后1月内肾脏体积的变化。结果 85例捐赠者平均年龄45.3岁。术前血Cr平均值为：（64.3±13.5）μmol/L。术后第1天血Cr平均增加（36.8±20.6）μmol/L。术后第10天血Cr平均为（89.9±18.1）μmol/L。捐赠者术前GFR平均为（137.6±28.1）ml/min,术后1月GFR平均（73.99±20.45）ml/min,减少了（43.8±14.3）%;术后3-6月GFR平均（89.75±18.2）ml/min。肾脏体积（15例）：3例〈30岁,术前平均为5.2cm×5.5cm×10.9cm,术后1月平均为4.7cm×4.9cm×10.6cm;12例〉30岁,术前平均为4.66cm×5.08cm×10.6cm,术后1月平均为5.48cm×6.02cm×11.65cm。结论活体肾移植供体术后血肌酐会出现明显增高,波动幅度在50%左右,在术后第10日即可缓慢下降;〉30岁捐赠者术后肾脏体积短期内即可出现明显代偿性增大,〈30岁者术后肾脏体积短期内代偿性增大不明显。
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| 关 键 词： | 移植,同种 肾疾病 肾小球滤过率 |
Early kidney function of living kidney donors after transplantation |
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| WANG Qiang,LI Xiao-li,CAI Ming,QIAN Ye-yong,LI Zhou-li,XU Liang,SHI Bing-yi. Early kidney function of living kidney donors after transplantation[J]. Academic Journal of Pla Postgraduate Medical School, 2011, 32(1): 44-45,62 |
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| Authors: | WANG Qiang LI Xiao-li CAI Ming QIAN Ye-yong LI Zhou-li XU Liang SHI Bing-yi |
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| Affiliation: | WANG Qiang1,LI Xiao-li2,CAI Ming1,QIAN Ye-yong1,LI Zhou-li1,XU Liang1,SHI Bing-yi1 1Department of Urology,2Headquarters of General Staff Chinese PLA 309 Hospital,Beijing 100091,China |
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| Abstract: | Objective To summarize the changing rules of early kidney function in living kidney donors after transplantation.Methods Clinical data on creatinine(Cr) and glomerular filtration rate(GFR) of 85 relative kidney donors before or after operation performed in January 2006-August 2009 in our hospital were retrospectively analyzed.GFR was detected using the 99Tcm-DTPA renal dynamic image.Renal volume change was observed in 15 donors 1 month before and after operation.Results The average age of 85 kidney donors w... |
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| Keywords: | Transplantation Homologous Kidney Diseases Glomerular Filtration Rate |
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