多囊肾与肾移植相关关系的研究

Kidney transplantation in the patients with polycystic kidey

目的 研究多囊肾尿毒症患者肾移植术前是否需要切除多囊肾。方法 对30例多囊肾尿毒症患者肾移植后进行随访,比较生存率及生活质量。结果 切除多囊肾后肾移植的3、5年生存率分别为100％、70％,肾移植后患者可恢复正常工作。未切除多囊肾的肾移植3、5年生存率为70％、50％,肾移植后生活质量没有提高。结论 多囊肾尿毒症患者,肾移植前应常规切除多囊肾,以提高移植后3、5年生存率和生活质量。

To study the kidney transplantation in the patients with polycystic kidney associated with uremia. Methods A follow-up after kidney was performed on 30 cases of polycystic kidney. The survival rate and living quality were compared. Results The 3 and 5 year survival rate after kidney transplantation in the patients with resection of polycystic kidney was 100 % and 70 % , while that in those without resection of polycystic kidney was 70 % and 50 % respectively. The living quality in the patients with resection of polycystic kidneys was not improved, but those with resection of polycystic kidneys could recover to normal work. Conclusion For the patients with polycystic kidney associated with uremia, the polycystic kidney should be routinely resected before kidney transplantation to improve the living quality and increase of 3- and 5-year survival rate.