多囊肾患者肾移植的临床研究

目的 探讨多囊肾患者肾移植的特点、不切除原双侧肾脏的可行性及其对移植效果的影响。方法 总结了２８例多囊肾患者肾移植的临床研究结果。最大年龄６２岁，平均５６．２岁；透析时间３～１８个月。移植术前、术中及术后均未节除原双侧肾脏。移植后观察肾脏体积及血尿的变化，采取积极的防治感染措施。结果 １年人肾存活率均为９５．２％，３年存活率８５．７％，最长存活已９年；急性排斥反应的发生率１０．７％，移植后原肾脏体

Clinic study of kidney transplantation in polycystic kidney patients

Objective To study the special characteristics of kidney transplantation in the polycystic kidney patients and to explore the feasibility of renal transplantation without removing original kidney and to investigate its influence on the graft. Methods The clinical results of 28 cases of polycystic kidney receiving kidney transplantation were analyzed. The oldest was 62 years with the average age being 56.2 years and the dialysis lasted 3 18 months. The original kidneys were not removed before, during or after transplantation. After operation, the size and haematuria of the graft were observed. Anti infection treatment was carried out. Results One year and 3 year patient/graft kidney survival rate was 95.2 ?% and 85.7 ?% respectively. The longest survival was 9 years. The acute rejection incidence was 10.7 ?%. After transplantation, the original kidneys become smaller and smaller and haematuria gradually disappeared.Conclusions In the polycystic kidney patients receiving kidney transplantation, the features of polycystic kidney was not the dominant factors to affect the transplantation effects and to cause the complications in the posttransplantation. The satisfactory clinical results could be obtained without removing the original polycystic kidney. After transplantation, carefully monitoring haematuria, infection and implementing the effective measures, the manifestations of the polycystic kidneys would be alleviated or disappear, the size of polycystic kidneys would obviously become small.