肾移植术后早期移植肾切除原因分析

目的:探讨肾移植术后早期移植肾切除的原因.方法:选择2008年至2018年复旦大学附属中山医院收治的早期移植肾切除患者20例,收集肾移植术后移植肾切除时间、临床特征、辅助检查结果及术后移植肾病理等数据,分析早期移植肾切除原因.结果:20例患者肾移植术后移植肾切除的中位时间为9.5(0～77)d.彩色多普勒示超声示移植肾...

Cause analysis of early allograft nephrectomy after renal transplantation

Objective: To explore the causes of early allograft nephrectomy after renal transplantation. Methods: From 2008 to 2018, 20 patients with early nephrectomy were selected from Zhongshan Hospital, Fudan University. The data of graft nephrectomy time, clinical features, auxiliary examination results, and postoperative pathology results were collected, and the causes of early graft nephrectomy were analyzed. Results: The median time of allograft nephrectomy after renal transplantation in 20 patients was 9.5 (0-77) days. Color Doppler ultrasound results showed that the blood flow was sparse and the resistance index was higher in the allograft renal. Postoperative pathology showed that 10 (50%) patients had arterial or venous thrombosis in the allograft renal, 5 (25%) patients had rejection, 2 (10%) patients had hemorrhage, 2 (10%) patients, 1 (5%) patient had primary non-function of the allograft renal. Among the 20 patients, 9 patients received donation after citizen death (DCD) donor kidneys, 2 of whom were given allograft nephrectomy due to infection. The pathogens were Acinetobacter baumannii and Mucor. Conclusions: The main cause of early allograft nephrectomy is renal thrombosis and acute rejection, and infection is one of the causes of early nephrectomy for DCD kidney transplantation.