带血管蒂带脾胎儿全胰移植治疗Ⅰ型糖尿病

Transplantation of Fetus Pancreas with Vascular Pcdicle and Spleen for Treatment of First Type Diabetes

报道胎儿带血管蒂全胰移植治疗Ｉ型糖尿病，在取材和移植方法上进行了改革和创新。不仅成倍增加了移植物血流量，还可以预防吻合口血栓形成，确保移植物存活。术后应用放免法对血中胰岛素和Ｃ－肽进行监测；应用彩色多普勒诊断仪进行血流监测，证明移植物功能性存活，获得较好的治疗效果。并提出术后不显性排斥反应的治疗是小脏器移植长期功能性存活的关键。

his paper reports transplantation of fetus pancreas with vascular pedicle and spleen for treatingthe first type diabetes with lmprovements on sampling and method of transplatation. The method intro-duced in the paper not only increases the volume of blood flow but also prevents thrombosis of anastomotic stoma. The functional survive of the transplant was confirmed by color doppla examination andmeasuring insulin and C-peptide with radio-immunity. Better curative effect was obtained.It is also putforward that the treatment of inapparent reject reaction after operation is the crux of long-term func-tional survive for transplantation of small organ.