肾移植的结果与手术并发症
Outcomes and Surgical Complications in Kidney Transplantation.
作者信息
Reyna-Sepúlveda F, Ponce-Escobedo A, Guevara-Charles A, Escobedo-Villarreal M, Pérez-Rodríguez E, Muñoz-Maldonado G, Hernández-Guedea M
机构信息
University Hospital "Dr. José Eleuterio González", Autonomous University of Nuevo León, Monterrey, México.
出版信息
Int J Organ Transplant Med. 2017;8(2):78-84. Epub 2017 May 1.
BACKGROUND
Kidney transplantation is the most cost-effective therapy for end-stage renal disease. Post-operative complications account for 15%-17% of all cases and are associated with significant morbidity. Currently 4.8% of post-transplantation patients have returned to dialysis. Our center's main transplant origin is cadaveric donation.
OBJECTIVE
To review surgical complications of kidney transplantation over the past 5 years.
METHODS
This was an observational descriptive study that included all patients from 2011 to 2015.
RESULTS
A total of 55 cases were reviewed. Diabetic nephropathy was the etiology in 30.9% of cases. Post-surgical complications occurred in 12.7% of patients with a post-operative mortality of 4%. Graft survival at 1 year was 82.4% with a 91% 1-year patient survival.
CONCLUSION
Early identification and treatment of surgical complications are critical for patient and graft survival. Complications are low but significant.
背景
肾移植是终末期肾病最具成本效益的治疗方法。术后并发症占所有病例的15% - 17%，并与显著的发病率相关。目前，4.8%的移植后患者已恢复透析。我们中心主要的移植来源是尸体捐赠。
目的
回顾过去5年肾移植的手术并发症。
方法
这是一项观察性描述性研究，纳入了2011年至2015年的所有患者。
结果
共回顾了55例病例。30.9%的病例病因是糖尿病肾病。12.7%的患者发生了术后并发症，术后死亡率为4%。1年时移植物存活率为82.4%，患者1年存活率为91%。
结论
早期识别和治疗手术并发症对患者和移植物的存活至关重要。并发症发生率低但影响重大。
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