中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (40): 7465-7469.doi: 10.3969/j.issn.2095-4344.2012.40.011

• 肾移植 kidney transplantation • 上一篇    下一篇

亲属活体肾移植供者的临床评估

高宏君，罗向东，梁泰生，卢尚光，梁方芳，谭 臻，武 桢   

  1. 广西中医学院附属瑞康医院移植泌尿外科，广西壮族自治区南宁市 530011
  • 收稿日期:2012-02-27 修回日期:2012-04-18 出版日期:2012-09-30 发布日期:2012-09-30
  • 作者简介:高宏君☆，男，1972年生，吉林省长春市人，汉族，2006年南方医科大学毕业，博士，主任医师，主要从事器官移植的基础和临床研究。

Clinical evaluation of potential living-related kidney donors

Gao Hong-jun, Luo Xiang-dong, Liang Tai-sheng, Lu Shang-guang, Liang Fang-fang, Tan Zhen, Wu Zhen   

  1. Department of Transplantation and Urology, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China
  • Received:2012-02-27 Revised:2012-04-18 Online:2012-09-30 Published:2012-09-30
  • About author:Gao Hong-jun☆, Doctor, Chief physician, Department of Transplantation and Urology, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China gao4056@163.com

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摘要：

背景：随着活体肾移植的广泛开展，如何保证活体肾移植供者的长期存活愈发引人关注。
目的：总结79名亲属活体供肾移植的临床评估情况，评价其效果及安全性。
方法：广西中医学院附属瑞康医院移植泌尿外科在2007-06/2010-08共完成亲属活体供肾移植评估79名，回顾分析供者相关的临床资料及移植的效果。
结果与结论：经评估共有38名供者合格，所有供者手术时间1.0-2.0 h，供肾热缺血时间15 s左右，冷缺血时间1.0-2.0 h，围手术期间无外科及内科并发症发生。随访至2011年8月，所有供、受者均正常生存，移植肾功能均保持在正常范围。采用比较严格的供者评估方式是保证供者长期存活的必要手段。

关键词: 肾移植, 亲属活体供肾, 临床分析, 临床评估, 安全性

Abstract:

BACKGROUND: With the extensive development of the renal transplants from living-related donors, how to protect the donors’ long-term survival get more and more attention.
OBJECTIVE: To summarize our clinical experience of 79 potential living-related kidney donors, and to evaluate the effects and reliability of the procedure.
METHODS: We analyzed clinical data from 79 potential living-related kidney donors assessed at the Department of Transplantation and Urology, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine from June 2007 to August 2010. And the clinical effect was analyzed.
RESULTS AND CONCLUSION: A total of 38 patients were assessed for qualified. The operating time for all donors ranged from 1 to 2 hours. The warm ischemia time of the donated kidney was about 15 seconds, and the cold ischemia time was 1-2 hours. No surgical or medical complications occurred during the perioperative period. All donors have survived to date, with kidney function in the normal range. Rigorous assessment is important for ensuring the long-term survival of living kidney donors.

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