505例早期拔除导尿管的肾移植患者的泌尿系统并发症

Urologic complications in 505 renal transplants with early catheter removal.

作者信息

Sagalowsky A I, Ransler C W, Peters P C, Dickerman R M, Gailiunas P, Helderman J H, Hull A R, Atkins C

出版信息

J Urol. 1983 May;129(5):929-32. doi: 10.1016/s0022-5347(17)52462-3.

Abstract

Of 505 consecutive renal transplants urologic complications occurred in 4.1 per cent of cadaver, 2.6 per cent of living related, 1.9 per cent of diabetic and 3.8 per cent of nondiabetic allografts. Over-all, patient survival and graft salvage rates were 94 and 83 per cent, respectively. Principles of prevention, diagnosis and management of these complications are discussed. In contrast to prior standards the bladder catheter was removed within 36 hours postoperatively in nearly all cases without any increase in morbidity.

摘要

在505例连续进行的肾移植中，尸体供肾移植的泌尿系统并发症发生率为4.1%，亲属活体供肾移植为2.6%，糖尿病患者肾移植为1.9%，非糖尿病患者肾移植为3.8%。总体而言，患者生存率和移植肾挽救率分别为94%和83%。本文讨论了这些并发症的预防、诊断和处理原则。与既往标准不同的是，几乎所有病例术后36小时内都拔除了膀胱导管，且发病率并未增加。