论文部分内容阅读
目的 探讨供受者体重相差悬殊及供肾年龄>60岁以上,双肾移植给同一受者的效果。方法 受者体重>供者体重一倍及老年供者双肾移植在同一受者身上,4例双肾分别移植在两侧髂凹内,1例双肾移植在右腰髂部。结果 5 例双肾移植均恢复良好,肾功能在5~7 d内恢复正常,4例生存6月~5年,1例于术后1年死于脑血管意外。结论 受者体重>供者一倍,双肾移植能早期恢复正常肾功能。年龄>60岁以上的老年供肾,肾活检肾小球硬化(GE),GE>15%的做双肾移植,GE<15%行单肾移植,GE>50%的肾脏不能用于移植。
Objective To investigate the effect of donor kidney weight difference and kidney donor age> 60 years old and bilateral renal transplantation to the same recipient. Methods The recipients’ body weight> double donor volume and double donor kidney transplant recipients in the same recipient, 4 cases of bilateral renal grafts were implanted on both sides of the iliac crest, 1 case of bilateral renal transplantation in the right iliac. Results All the 5 cases of double renal transplantation recovered well. Renal function returned to normal within 5 ~ 7 days. Four cases survived from June to 5 years. One case died of cerebrovascular accident one year after operation. Conclusion Recipients> twice as many donors, renal allografts can recover normal renal function early. Renal allograft age> 60 years old, renal biopsy glomerulosclerosis (GE), GE> 15% kidney transplant, GE <15% single kidney transplant, GE> 50% kidney can not be used for transplantation.