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目的 探讨亲属活体供肾移植的临床经验及夫妻间供肾移植的可行性、安全性。方法 总结9例亲属活体供肾的移植效果 ,分析有关因素及其预后 。结果 9例供受者全部存活。1例供者术后发生肾病综合征 ,治疗后尿蛋白转阴 ,肾功能正常。1例受者术后1个月内发生急性排异征象。抗排斥治疗后逆转。1例急性肾衰 ,2周后肾功能恢复。结论 亲属及夫妻之间的活体肾移植不仅安全 ,移植效果优于尸肾移植 ,且能缓解肾源短缺的状况。
Objective To investigate the clinical experience of living donor kidney transplantation and the feasibility and safety of donor kidney transplantation. Methods Nine cases of relative living donor kidney transplantation were summarized, and related factors and prognosis were analyzed. Results All the 9 recipients survived. One patient had nephrotic syndrome after operation, urine protein was negative after treatment, and renal function was normal. One patient had acute rejection signs within 1 month after operation. Reversal after anti-rejection treatment. 1 case of acute renal failure, 2 weeks after the recovery of renal function. Conclusion Living donor kidney transplantation between relatives and husband and wife is not only safe but also better than cadaveric kidney transplantation and can relieve the shortage of kidney.