不同透析疗法准备肾移植的疗效观察

Observation of Efficacy of Different Dialytic Therapies in Renal Transplantation Preparation

本文分析T55例57例次尸体肾移植资料,其中持续性非卧床腹膜透析准备30例(CAPD组),血液透析准备25例27例次(HD组)。资料表明,两组移植肾生存期无明显差异;术后相同免疫抑制疗法的CAPD与HD准备的移植受者,移植肾生存期亦无显著差异。CAPD准备患者,移植术后腹膜炎危险性低。腹膜透析导管最好待移植肾功能稳定后拔除,以备术后需暂时腹膜透析时使用,或怀疑腹腔感染时,获取腹腔液体确诊。

Fifty-seven cadeveric renal transplan-tations in fifty-five cases were analysed.of them, thirty cases were prepared bycontinuous ambulatory peritoneal dialysis(CAPD group) ; twenty-seven transplanta-tions in twenty-five cases were prepared byhemodialysis (HD group) .Our data showthat there is no significant difference in thesurvival duration between CAPD group andHD group; that there is also no significantdifference in the survival duration betweenthe two groups treated with the same im-munosuppressive drugs; and that patientsprepared by CAPD have a low risk of peri-tonitis after transplantation. It is better notto remove the Tenckhoff catheter until thegraft function is stable so that it can beused for the transient peritoneal dialysis inthe case of the insult of graft function orfor the sampling of the peritoneal effusionfor diagnosis of suspectable peritonitis afterrenal transplantation.