目的探讨移植肾长期存活的相关因素。方法随访1986年-2001年尸体肾移植患者500例,分析人/肾存活10年以上患者的相关资料。结果 10年以上存活率为47%(235/500)。有2例存活已23年。结论血型相同、良好配型、供肾者年轻、饮食有效管理、移植后1年内平稳过渡、移植后阶段正确处理及中医中药介入干预慢性排斥都是是肾移植后长期存活的重要因素。 Objective To investigate the related factors of long-term graft survival. Methods From 1986 to 2001, 500 patients with cadaveric renal allograft were followed up, and the related data of patients who survived more than 10 years were analyzed. Results The survival rate over 10 years was 47% (235/500). Two patients have survived for 23 years. Conclusion The same blood type, good matching, young for the kidneys, effective management of diet, a smooth transition within 1 year after transplantation, the correct treatment after transplantation and Chinese medicine interventional chronic intervention are important factors in long-term survival after kidney transplantation.