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目的 探讨肝肾联合切取对供肾质量的影响和技术改进。方法 比较59例肝肾联合切取供肾肾移植受者和152例单独肾脏切取肾移植受者近期肾功能的差异。结果 肝肾联合切取组受者术后急性肾小管坏死发生率为10.2％,术后第4天血肌酐值平均为262 μmol/L,肾脏单独切取组受者分别为0.7％和162μmol/L,两组间比较差异有显著性。结论 肝肾联合切取对供肾质量有不良影响,操作过程中应注意保护供肾。
Objective To investigate the effect of combined liver and kidney resection on the quality of donor kidney and its technical improvement. Methods Fifty-nine patients with kidney-kidney transplantation combined with kidney transplantation and 152 patients with kidney transplantation alone were enrolled in this study. Results The incidence of acute tubular necrosis was 10.2% in patients receiving liver-kidney resection, 262 μmol / L on the fourth day after operation, 0.7% and 162 μmol / L respectively in the kidney alone, The difference between the two groups was significant. Conclusions Hepatic nephrectomy can adversely affect the quality of the kidneys, and the donor should be protected during operation.