CAJ | 학술논문

目的分析婴幼儿供肾儿童肾移植的可行性、手术技巧和围手术期处理经验.方法回顾性分析11例婴幼儿供肾儿童肾移植的临床资料、手术方式、围手术期处理和随访情况.供者年龄为33 d至48个月,受者年龄为(9.1±3.4)岁(4.6～14.3岁).结果术后随访1～22个月,所有受者均存活.1例术后发生移植肾功能延迟恢复,经腹膜透析治疗后逐渐恢复;2例出现尿漏,经再次手术后治愈;2例出现移植肾积水,拔除双J管后缓解;1例因移植肾动、静脉血栓形成而切除移植肾.10例受者移植肾功能恢复良好,末次随访时血肌酐、移植肾彩色超声检查均未见异常.结论婴幼儿供肾儿童肾移植手术难度大,处理不同于成人,但近期效果较好,是低龄儿童肾移植的可行方法.
목적 분석영유인공신인동신이식적가행성、수술기교화위수술기처리경험.방법 회고성분석11례영유인공신인동신이식적림상자료、수술방식、위수술기처리화수방정황.공자년령위33 d지48개월,수자년령위(9.1±3.4)세(4.6～14.3세).결과 술후수방1～22개월,소유수자균존활.1례술후발생이식신공능연지회복,경복막투석치료후축점회복;2례출현뇨루,경재차수술후치유;2례출현이식신적수,발제쌍J관후완해;1례인이식신동、정맥혈전형성이절제이식신.10례수자이식신공능회복량호,말차수방시혈기항、이식신채색초성검사균미견이상.결론 영유인공신인동신이식수술난도대,처리불동우성인,단근기효과교호,시저령인동신이식적가행방법.
Objective To investigate the therapeutic principle of en-bloc kidney and single kidney transplantation from pediatric donors to pediatric recipients.Method A retrospective analysis of 11 pediatric kidney transplants into pediatric recipients was performed.The age of donors and recipients was 33 days to 48 months,and (9.1 ± 3.4) years (4.6 14.3 years) respectively.Result During the follow-up period of 1 to 22 months,the patient survival rate was 100％.Complications included delayed graft function in 1 case (managed by peritoneal dialysis),urine leak in 2 cases (treated by reoperation),hydronephrosis in 2 cases (treated by extracting ureteral catheter) and vascular thrombosis in 1 case.Due to thrombosis,one graft was lost.Of the remaining 10 recipients,all had excellent long-term function.At the last follow-up,their serum creatinine levels were 65.5 ±13.6 μmol/L (49-83μmol/L),and transplanted renal ultrasound examination showed no abnormality.Conclusion Kidney grafts from pediatric donors can be successfully transplanted to pediatric recipients,but the therapeutic principle is different from that in adult kidney transplantation.