亲属活体肾移植供者的临床评估

背景：随着活体肾移植的广泛开展，如何保证活体肾移植供者的长期存活愈发引人关注。 目的：总结79名亲属活体供肾移植的临床评估情况，评价其效果及安全性。 方法：广西中医学院附属瑞康医院移植泌尿外科在2007-06/2010-08共完成亲属活体供肾移植评估79名，回顾分析供者相关的临床资料及移植的效果。 结果与结论：经评估共有38名供者合格，所有供者手术时间1.0-2.0 h，供肾热缺血时间15 s左右，冷缺血时间1.0-2.0 h，围手术期间无外科及内科并发症发生。随访至2011年8月，所有供、受者均正常生存，移植肾功能均保持在正常范围。采用比较严格的供者评估方式是保证供者长期存活的必要手段。

Clinical evaluation of potential living-related kidney donors

BACKGROUND:With the extensive development of the renal transplants from living-related donors, how to protect the donors’ long-term survival get more and more attention. OBJECTIVE:To summarize our clinical experience of 79 potential living-related kidney donors, and to evaluate the effects and reliability of the procedure. METHODS:We analyzed clinical data from 79 potential living-related kidney donors assessed at the Department of Transplantation and Urology, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine from June 2007 to August 2010. And the clinical effect was analyzed. RESULTS AND CONCLUSION:A total of 38 patients were assessed for qualified. The operating time for all donors ranged from 1 to 2 hours. The warm ischemia time of the donated kidney was about 15 seconds, and the cold ischemia time was 1-2 hours. No surgical or medical complications occurred during the perioperative period. All donors have survived to date, with kidney function in the normal range. Rigorous assessment is important for ensuring the long-term survival of living kidney donors.