肾移植存活十年以上病例的分析

A study of renal transplant recipients survived for more than 10 years

对３２例肾移植后带肾存活１０年以上患者的资料进行分析总结。供肾热缺血时间８分钟，温缺血时间１小时８分钟，冷缺血时间３２小时，淋巴细胞毒性试验均＜０．１０。术中均较为顺利，术后应用硫唑嘌呤及强的松进行免疫抑制。术后１个月内有１５例发生急性排斥反应，均经治疗逆转。认为供肾质量、供受体的ＨＬＡ配型、术后免疫抑制剂的合理应用以及术后患者的监护及随访对移植肾的长期存活非常重要。

cadaveric renal transpfantations had ben performed on 94 patients in Changzheng Hospital of Shanghai from 1980 to June 1985. Among them 32 cases survived for more than 10 years with the survival rate of 34%. All the patients received only azathioprine and prednison after transplantation and resumed normal working activity thereafter. The factors related to long term survival rate has been analysed. The quality of the donor kidney, antirejection regimen and normal daily life after oportion are the important bases.