Robles N R, Gómez Campdera F J, Anaya F, Albertos J, Valderrábano F
Arch Esp Urol. 1989 Jul-Aug;42(6):545-8.
We evaluated the results of 27 renal transplants (RT) from donors less than 5 years of age (mean 2.1 +/- 1.1 years). Seven were transplanted en bloc and the rest separately. Fourteen recipients were children and 13 were adults. The overall graft survival at one year was 51%. Kidneys from donors less than 2 years of age that had not been transplanted en bloc had a survival rate of 21%. There was a marked improvement in the one-year graft survival (71%) for kidneys from donors under 2 years of age that had been transplanted en bloc, and a slight improvement (53%) for those from donors over 2 years of age. No urological complications were observed. Five RT were lost due to vascular complications. Good renal graft function was observed in both children (mean plasma creatinine 1.65 mg/dl.) and adults (mean plasma creatinine 1.90 mg/dl.). The one-year graft survival rate was 59% for the adult recipients and 42% for the children. We can conclude from these findings that kidneys from pediatric donors can be transplanted to children as well as adults and should probably be performed en bloc when the donor is less than 2 years of age.
我们评估了27例来自年龄小于5岁（平均2.1±1.1岁）供体的肾移植（RT）结果。7例进行了整块移植，其余为单独移植。14名受者为儿童，13名为成人。1年时的总体移植物存活率为51%。未进行整块移植的2岁以下供体的肾脏存活率为21%。对于进行了整块移植的2岁以下供体的肾脏，1年移植物存活率有显著提高（71%），而对于2岁以上供体的肾脏则有轻微提高（53%）。未观察到泌尿系统并发症。5例肾移植因血管并发症失败。儿童（平均血浆肌酐1.65mg/dl）和成人（平均血浆肌酐1.90mg/dl）均观察到良好的肾移植物功能。成人受者的1年移植物存活率为59%，儿童为42%。从这些结果我们可以得出结论，小儿供体的肾脏可以移植给儿童和成人，并且当供体小于2岁时可能应进行整块移植。
