自体肾移植术的临床应用

The clinical application of renal autotransplantation

目的 :探讨自体肾移植术在尿路及非尿路疾病中的应用价值。方法 :应用自体肾移植术治疗 9例患者 ,其中肾血管性高血压 3例 ,腹主动脉瘤 3例 ,肾肿瘤 2例 ,输尿管肿瘤 1例。结果 :术后均未出现并发症 ,随访6～ 72个月 ,平均 35个月。其中 8例患者肾功能正常 ,1例肾肿瘤患者于术后 13个月因肿瘤复发并颅内转移死亡。结论

Purpose:To investigate the value of renal autotransplantation.Methods:Nine patients underwent renal transplantation. Three involving renovascular hypertension(RVH), three involving abdominal aortic aneuorysm(AAA), two with renal cell carcinoma, and one with long ureteral tumor. The follow-up period ranged from 6 to 72 months(mean 35).Results:No post-operation complications occurred. Eight patients had normal kidney functions, one died of brain metastasis.Conclusions:Despite the development of micro-invasive and endoscopic surgery, renal autotransplantation represents an effective treatment for selected diseases and has a good long-term result.