摘要
目的探讨供受者体重相差悬殊及供肾年龄＞60岁以上,双肾移植给同一受者的效果.方法受者体重＞供者体量一倍及老年供者双肾移植在同一受者身上,4例双肾分别移植在两侧髂凹内,1例双肾移植在右腰髂部.结果5例双肾移植均恢复良好,肾功能在5～7 d内恢复正常,4例生存6月～5年,1例于术后1年死于脑血管意外.结论受者体重＞供者一倍,双肾移植能早期恢复正常肾功能.年龄＞60岁以上的老年供肾,肾活检肾小球硬化(GE),GE＞15%的做双肾移植,GE＜15%行单肾移植,GE＞50%的肾脏不能用于移植.
Ojective To discuss the effect of double kidneys transplantation when the donors and receptors had great difference in weight and when the donors were more than 60 years old. Methods In 4 cases, the two kidneys were placed in each ilioplevic part of the body. And in 1 case, the two kidneys were planted in iliolumbar part. The ureters wre all planted in the bladders. Results All of the 5 cases recovered. The renal function restored to normal in 5～7 days. 4 cases remained alive for 6 months ～5 years. 1 case died of cerebral hemorrhage encephalorrhagia one year later. Conclusion If the receptor's weight is 2 times more than the donor's, the renal function will recover early. For those donors who are more than 60, if GE>15%, double kidneys transplantation can be performed; if GE<15%, single kidney transplantation can be performed; and if GE>50%, the kidneys are not suitable for transplantation.
出处
《现代泌尿外科杂志》
CAS
2005年第2期83-85,共3页
Journal of Modern Urology
