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目的 :总结和分析亲属活体供肾肾移植的手术经验。方法 :回顾性分析 7例亲属活体供肾肾移植的临床资料 ,均按常规作肾移植术。结果 :7例供肾者均顺利渡过围手术期 ;7例受者仅 1例有排斥反应 ,6例无排斥反应。随访 4~ 41个月 ,除 1例术前 HBs Ag阳性者术后 6个月因肝功能损害而死亡外 ,其余 6例至今肾功能良好。结论 :亲属活体供肾肾移植的最大好处是排斥反应少 ,可有一个更长的移植肾成活时间 ,摘取供肾手术应更加仔细。
Objective: To summarize and analyze the experience of living donor kidney transplantation. Methods: The clinical data of 7 cases of living donor kidney transplantation were retrospectively analyzed, all of which were performed routine renal transplantation. Results: All the 7 donors passed the perioperative period successfully. Only 7 of 7 recipients had rejection and 6 had no rejection. All cases were followed up for 4 ~ 41 months. Except one case of preoperative HBsAg-positive patients died of liver dysfunction 6 months after operation, the remaining 6 cases had good renal function so far. CONCLUSION: The greatest benefit of living donor kidney transplantation is less rejection, longer graft survival, and more careful selection of the donor kidney.