Kanisauskaite Egle, Kuzminskis Vytautas, Bumblyte Inga Arūne, Maslauskiene Rima, Pakalnyte Renata
Clinic of Nephrology, Kaunas University of Medicine Hospital, Eiveniu 2, 50009 Kaunas, Lithuania.
Medicina (Kaunas). 2005;41 Suppl 1:87-92.
During the last year 57 cadaver kidney transplantations were performed in Lithuania, 23 of them in Kaunas. The first transplantation of cadaver kidney at Kaunas University of Medicine Hospital was performed in May 2000. The purpose of the study was to analyze the results of kidney transplantations performed at Kaunas University of Medicine Hospital between May 2000 and December 2004 and to evaluate the most frequent early and late complications after transplantation and survival of the kidney transplant. During this period a total of 51 cadaver kidney transplantations were done. The mean age of patients was 38.37+/-12.45 years. 90.2% of cadaver kidneys were taken from the optimal kidney donors. The most common early complications after kidney transplantation were infections of the urinary tract (33.3%) and on the late period of kidney transplantation complications of the immunosuppressive treatment (40%) (cytomegalovirus infection, agranulocytosis). Acute rejections were in 13.7 proc. of patients. Kidney transplant survival rate at 1 and 3 years after cadaver kidney transplantation was 85%. Mortality of transplant patients was 2%.
去年，立陶宛进行了57例尸体肾移植手术，其中23例在考纳斯进行。考纳斯医科大学医院的首例尸体肾移植手术于2000年5月进行。本研究的目的是分析2000年5月至2004年12月期间考纳斯医科大学医院进行的肾移植结果，并评估移植后最常见的早期和晚期并发症以及肾移植的存活率。在此期间，共进行了51例尸体肾移植手术。患者的平均年龄为38.37±12.45岁。90.2%的尸体肾取自最佳肾供体。肾移植后最常见的早期并发症是尿路感染（33.3%），而在肾移植后期，免疫抑制治疗的并发症（40%）（巨细胞病毒感染、粒细胞缺乏症）最为常见。急性排斥反应发生在13.7%的患者中。尸体肾移植后1年和3年的肾移植存活率为85%。移植患者的死亡率为2%。
