胰肾联合移植受体的选择与准备

Selection and Preparation of Recipient of Simultaneous Pancreas kidney Transplantation

目的 :探讨临床胰肾联合移植受体的选择与准备。方法 :结合我院施行的 2例胰肾联合移植 ,选择 1型糖尿病终末期肾病患者作为受体 ,并进行周密的准备。结果 :移植术后胰肾功能恢复正常 ,受体均于术后 2 4h内停用胰岛素 ,1周内血肌酐及尿素氮降为正常。第 1例已有功能存活 2 4个月。结论 :严格选择受体及对其周密准备有利于移植胰肾功能的早期恢复 ,减少排异反应及手术相关并发症的发生。

Objective:To discuss the selection and arrangement of recipient of simultaneous pancreas kidney transplantation(SPKT). Methods:Two cases of IDDM patients received SPKT. Results:The functions of pancreas and kidney grafts were normal in 24 hours and 7 days after operation, respectively. The first patient has been having good function of pancreas and kidney grafts for two years. Conclusions:Strict selection and careful arrangement of recipient are of benefit to early recovery of grafts′ function and reduce rejection and complications after operation. [