糖尿病肾移植

Diabetic renal transplantation.

作者信息

Libertino J A, Zinman L, Salerno R, D'Elia J, Kaldany A, Weinrauch L A

出版信息

J Urol. 1980 Nov;124(5):593-5. doi: 10.1016/s0022-5347(17)55569-x.

Abstract

Fifty-three juvenile onset diabetics have received 59 renal allografts: 31 from living related donors and 27 from cadaveric donors. The average patient age was 34 years and the duration of diabetes was 27 years at the time of transplantation. Patient survival rates for living related recipients at 1 and 2 years were 97 and 94 per cent, respectively. Patient survival rates for cadaveric recipients at 1 and 2 years were 85 and 66 per cent, respectively. Renal allograft survival rates for living related recipients were 81 per cent at 1 year and 71 per cent at 2 years. Cadaveric renal allograft survival rates were 22 per cent at 1 year and 20 per cent at 2 years. The role of pre-transplant coronary angiography relative to patient selection and a recent decrease in our perioperative mortality are discussed.

摘要

53例青少年发病的糖尿病患者接受了59次肾移植：31例来自活体亲属供体，27例来自尸体供体。移植时患者的平均年龄为34岁，糖尿病病程为27年。活体亲属受者1年和2年的患者生存率分别为97%和94%。尸体受者1年和2年的患者生存率分别为85%和66%。活体亲属受者的肾移植1年生存率为81%，2年生存率为71%。尸体肾移植1年生存率为22%，2年生存率为20%。讨论了移植前冠状动脉造影在患者选择中的作用以及近期我们围手术期死亡率的下降情况。