贵州省肾移植196例临床分析

Clinical analysis of 196 cases of kidney transplantation in Guizhou Province

目的探讨贵州省同种异体肾移植受者的临床预后。方法回顾性分析完成同种异体肾移植196例受者的临床资料,分析肾移植受者术后并发症情况。结果本组196例受者肾移植手术均成功,术后随访6~30个月,出现急性排斥反应24例(11.7%),移植物功能延迟恢复13例(6.6%),肺部感染61例(27.6%),切口延迟愈合17例(8.7%),移植肾出血1例(0.5%)等,肾移植受者远期死亡2例(1%),1例因严重肺部感染于肾移植术后9个月死亡,另1例因吉兰-巴雷综合征于肾移植术后8个月死亡。结论本组肾移植术后近期效果良好,肺部感染是术后最常见的并发症。

Objective To explore the clinical prognosis of renal allograft recipients in Guizhou Province.Methods From March 2017 to March 2019,the clinical data of 196 donors and recipients of allogeneic kidney transplantation completed in the Department of transplantation,Affiliated Hospital of Guizhou Medical University were analyzed the postoperative complications of renal transplant recipients retrospectively.Result In this group,196 cases of renal transplantation were all successful.After 6~30 months of follow-up,acute rejection occurred in 24 cases which was accounted for 11.7%,delayed recovery of graft function in 13 cases which was 6.6%,pulmonary infection in 61 cases which was 27.6%,delayed healing of incision in 17 cases which was 8.7%,bleeding in one case which was 0.5%,long-term death in 2 cases which was 1%,and serious pulmonary infection in 9 cases One case died 8 months after renal transplantation due to Guillain Barre syndrome.Conclusion The short-term effect of renal transplantation is good,and pulmonary infection is the most common postoperative complications.