活体亲属供肾移植11例报告

Living Relative Kidney Transplantation(Report of 11 Cases)

目的：分析总结活体亲属供肾肾移植的临床经验。方法：回顾分析11例活体亲属供肾肾移植的临床资料，均按常规行肾移植术。结果：11例供肾者均顺利度过围手术期；受体随访3～66个月，1例因经济费用问题无法继续治疗而于术后第7个月死亡，1例患者肾功能正常3年余后不规范服用免疫抑制剂致移植肾失功而行第2次同种异体尸肾移植术，术后仍恢复良好。其余9例至今肾功能正常。结论：活体亲属供肾肾移植扩大了供肾来源，缩短了等待时间，HLA配型满意，提高了移植肾质量，可减少免疫抑制剂的使用并降低医疗费用。

Objective. To analyze and summarize clinical experience in living relative kidney transplantation. Methods. Conventional renal transplantation is practised to analyze and review the clinical data of 11 cases of living relative kidney transplantation in our center. Results. All 11 patients recovered well from the operation during the follow-up 3 to 66 months. One of them deceased in the 7th month after the operation for financial difficulties. Another patient＇s transplanted kidney functioned normally for 3 years,but then failed as a result of wrong use of immunological inhibitor. The second homologous renal transplantation was performed after the allograft dysfunction. The patient had a good recovery. The rest of patients＇ kidneys functioned well. Conclusions. Living relative kidney transplantation has its own advantages with more sources of kidneys, less waiting time, satisfied HLA typing of donor-recipient, increased quality of transplanted kidney and less application of immunological inhibitor accompanied with reduced medical expenses.