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目的比较中国Ⅰ类器官捐献即脑死亡器官捐献(DBD)供肾与尸体供肾肾移植术后的早期临床效果。方法对34例DBD供肾受者和55例尸体供肾受者肾移植术后半年内的临床资料进行回顾性分析,通过比较两者术后第1、2周及1、3、6个月受者平均血清肌酐值,术后移植肾功能延迟恢复(DGF)等并发症发生率,发生DGF后移植肾功能恢复时间等数据,对DBD供肾和尸体供肾的早期临床效果进行比较。结果 DBD供肾者术后1、2周血清肌酐值明显低于尸体供肾者(P=0.000、0.014),1、3、6个月血清肌酐值与尸体供肾者相比差异无统计学意义(P=0.397、0.345及0.194)。两者DGF发生率分别为11.8%和16.4%,差异无统计学意义(P=0.773),DBD供肾者术后发生DGF后移植肾功能恢复时间为(10.25±7.85)d,尸体供肾者为(28.56±13.56)d,两者差异有统计学意义(P=0.031)。DBD供肾者半年期间移植肾全部存活,尸体供肾者为(177.85±15.91)d,两者差异无统计学意义(P=0.435),半年内两者受者均无死亡发生。DBD供肾者围手术期内感染发生率为42.4%,明显高于尸体供肾者的18.2%(P=0.018)。结论 DBD供肾术后1、2周血清肌酐值明显低于尸体供肾,发生DGF后移植肾功能恢复较快,但围手术期感染发生率明显较高。
Objective To compare the early clinical effects of donor donation of Chinese Class I organ donors (DBD) donor kidney donor and kidney donor kidney transplantation. Methods The clinical data of 34 cases of renal allograft recipients and 55 renal autograft recipients were analyzed retrospectively within six months after renal transplantation. By comparing the two groups after 1, 2 weeks and 1, 3, and 6 months The mean serum creatinine level, the incidence of complications such as postoperative delayed graft function (DGF), and the recovery time of graft function after DGF were compared. The early clinical effects of donor kidney and cadaver donor kidney were compared. Results The serum creatinine values of DBD donor group were significantly lower than those of donor group at 1 and 2 weeks after operation (P = 0.000,0.014). There was no significant difference in serum creatinine between 1 and 6 months after operation Significance (P = 0.397, 0.345 and 0.194). The incidence of DGF was 11.8% and 16.4% respectively, with no significant difference (P = 0.773). The time of functional recovery of renal allograft was (10.25 ± 7.85) (28.56 ± 13.56) d, the difference was statistically significant (P = 0.031). During the first half of DBD donor kidney allograft survived, the donor kidney was (177.85 ± 15.91) d, the difference was not statistically significant (P = 0.435), within six months, no death occurred in both recipients. The incidence of perioperative infections in DBD donor kidney was 42.4%, significantly higher than that of cadaver donor kidney (P = 0.018). Conclusions Serum creatinine values at 1 and 2 weeks after DBD donor nephrectomy were significantly lower than those of cadaveric donor kidney. After DGF, the function of renal graft recovered rapidly, but the incidence of perioperative infection was significantly higher.