目的:探讨影响肾移植患者及移植物长期存活的因素,为提高其长期存活率提供依据。方法:回顾性分析1977年10月～1987年10月尸体肾移植60例中存活10年以上者14例的临床资料。结果:14例中存活20、18、17、16、15年者各1例,11年4例,10年5例。结论:1存活率提高与使用CsA有关;2ABO血型相配与否对存活率影响不大;3受者术前全身状况及术后高血压对长期存活有影响;4长期使用免疫抑制剂易发生感染性疾病而影响长期存活。 Objective: To explore the factors that affect the long-term survival of renal transplant recipients and implants and provide the basis for improving its long-term survival rate. Methods: The clinical data of 14 patients who survived more than 10 years in 60 renal transplant recipients from October 1977 to October 1987 were retrospectively analyzed. Results: One of 14 patients survived at 20, 18, 17, 16 and 15 years, 4 in 11 and 5 in 10 years. Conclusion: 1 Survival rate increased with the use of CsA; 2ABO blood type or not have little effect on survival; 3 preoperative systemic conditions and postoperative hypertension affect long-term survival; 4 long-term use of immunosuppressive agents prone to infection Sexually transmitted diseases affect long-term survival.