CAJ | 학술논문

目的分析边缘供者供肾对亲属活体肾移植受者早期预后的影响.方法 66例亲属活体肾移植病例按供体年龄和供体情况分为边缘供者组(28例)和非边缘供者组(38例).对照比较2组的手术前后患者SCr、内生肌酐清除率、内外科并发症等情况.结果边缘供者组和非边缘供者组受者在术后第7天、1和3个月SCr分别为154、131、127μmol/L和132、117、118/μmol/L,2组之间比较差异无统计学意义(P＞0.05);2组父母子女间供肾受者的SCr在术后第7天、1、3个月分别为160、131、126 μmol/L和132、129、126μmol/L,2组之间比较差异均无统计学意义(P＞0.05)}边缘供者供肾受者内外科并发症发生率、内生肌酐清除率与非边缘供者供肾受者比较差异无统计学意义.结论边缘供者供肾的早期临床疗效理想.严格控制其纳入标准,边缘供者尤其父母子女间的边缘供者可作为亲属活体肾移植供体.
목적 분석변연공자공신대친속활체신이식수자조기예후적영향.방법 66례친속활체신이식병례안공체년령화공체정황분위변연공자조(28례)화비변연공자조(38례).대조비교2조적수술전후환자SCr、내생기항청제솔、내외과병발증등정황.결과변연공자조화비변연공자조수자재술후제7천、1화3개월SCr분별위154、131、127μmol/L화132、117、118/μmol/L,2조지간비교차이무통계학의의(P＞0.05);2조부모자녀간공신수자적SCr재술후제7천、1、3개월분별위160、131、126 μmol/L화132、129、126μmol/L,2조지간비교차이균무통계학의의(P＞0.05)}변연공자공신수자내외과병발증발생솔、내생기항청제솔여비변연공자공신수자비교차이무통계학의의.결론 변연공자공신적조기림상료효이상.엄격공제기납입표준,변연공자우기부모자녀간적변연공자가작위친속활체신이식공체.
Objective To analyze the influence of donating kidney of marginal donors on the early prognosis of living-related kidney transplant recipients.Methods Sixty-six cases of living-re-lated kidney transplant patients between February 2004 and September 2007 were divided into the marginal donors group(28 cases)and non-marginal donors group(38 cases).Serum creatinine before and after surgery,creatinine clearance after surgery and perioperation complications were compared respectivelv between the 2 groups.Results The serum creatinine levels in the marginal donors group and non-marginal donors group were 154,131,127μmol/L and 132,117,118 ttmol/L on 7th day,1st month and 3rd month after transplantation respectively,and there were no significant differences between the 2 groups(P＞0.05).The serum creatinine level in parent-child donating kidney of the 2 groups Was 160,131,126μmol/L and 132,129,126μtmol/L on 7th day,1st month and 3rd month after transplantation respectively,and there were no significant differences too(P＞0.05).There was no difference in the rate of perioperation complications and creatinine clearance after kidney transplantation between the 2 groups.Conclusions The early prognosis of marginal donors'recipients is ideal.The marginal donors could be selected as the living-related kidney transplant donors,especially between parent and child,as long as they are evaluated according to stricter criteria.But the long-term prognosis of the recipients should be further observed.