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目的 探讨尸体肾移植的临床特点。 方法 总结我院 1992年 12月～ 2 0 0 1年 4月 197例2 0 3例次尸体肾移植临床资料。 结果 ①本组 1、3、5年人 肾存活率分别为 94.2 % 89.0 %、87.6 % 78.8%、75 .0 % 6 6 .7%。②高危尿毒症患者 118例 ,其 1、3、5年人 肾存活率分别为 92 .5 % 87.7%、83.1% 76 .1%、6 8.2 % 5 4.5 % ,与普通尿毒症患者间的差异无统计学意义。③肾移植术后主要的严重并发症为肺部感染、心功能衰竭、肝功能严重损害 ,是肾移植术后死亡的主要原因。④肾移植术后恶性肿瘤发生率为 2 .5 %。 结论 ①尸体肾移植有较满意的人 肾存活率。②肾移植术后免疫抑制剂的合理应用、对术后并发症的预防和及时治疗是提高尸体肾移植人 肾存活率的重要因素
Objective To investigate the clinical features of cadaveric kidney transplantation. Methods The clinical data of 197 cases of 203 cases of renal transplantation from December 1992 to April 2001 in our hospital were summarized. Results ① The 1, 3, 5 years of human renal survival rates were 94.2% 89.0%, 87.6% 78.8%, 75.0% 6 6 .7% respectively. ② There were 118 cases of high-risk uremic patients, and their 1, 3, 5-year renal survival rates were 92.5% 87.7%, 83.1% 76.1%, 62.2% 54.5%, respectively, No statistical significance. ③ The main serious complications after kidney transplantation were pulmonary infection, heart failure and severe liver damage, which were the main causes of death after kidney transplantation. The incidence of malignant tumors after renal transplantation was 2.5%. Conclusion ① The renal transplant survival rate of cadaver kidney is more satisfactory. ② The rational application of immunosuppressive agents after renal transplantation, prevention and timely treatment of postoperative complications is an important factor to improve the renal survival rate of cadaver kidney transplantation