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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.

DOI:10.1016/s0022-5347(17)55569-x
PMID:7005458
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。

相似文献

1
Diabetic renal transplantation.糖尿病肾移植
J Urol. 1980 Nov;124(5):593-5. doi: 10.1016/s0022-5347(17)55569-x.
2
Ten year experience with renal transplantation in juvenile onset diabetics.青少年糖尿病患者肾移植的十年经验
Ann Surg. 1979 Oct;190(4):487-500. doi: 10.1097/00000658-197910000-00008.
3
Renal transplantation in diabetic patients: the end result does justify the means.糖尿病患者的肾移植:最终结果确实证明手段合理。
J Urol. 1983 Feb;129(2):253-5. doi: 10.1016/s0022-5347(17)52036-4.
4
Mortality of cadaveric kidney transplantation versus combined kidney-pancreas transplantation in diabetic patients.糖尿病患者尸体肾移植与肾胰联合移植的死亡率
Lancet. 1995;346(8991-8992):1658-62. doi: 10.1016/s0140-6736(95)92838-3.
5
Improved results of cadaver renal transplantation in the diabetic patient.糖尿病患者尸体肾移植的效果改善
J Urol. 1983 Nov;130(5):867-70. doi: 10.1016/s0022-5347(17)51541-4.
6
Improved patient survival in recipients of simultaneous pancreas-kidney transplant compared with kidney transplant alone in patients with type 1 diabetes mellitus and end-stage renal disease.与单纯肾移植相比,1型糖尿病合并终末期肾病患者接受胰肾联合移植后患者生存率提高。
Br J Surg. 2003 Sep;90(9):1137-41. doi: 10.1002/bjs.4208.
7
Kidney allograft and patient survival in type I diabetic recipients of cadaveric kidney alone versus simultaneous pancreas kidney transplants: a multivariate analysis of the UNOS database.仅接受尸体肾移植与同时接受胰肾联合移植的 I 型糖尿病受体的肾移植存活率和患者存活率:来自器官共享联合网络(UNOS)数据库的多变量分析
J Am Soc Nephrol. 2003 Jan;14(1):208-13. doi: 10.1097/01.asn.0000037678.54984.41.
8
There are no differences in pretransplant characteristics of individuals receiving simultaneous pancreas-kidney transplant and individuals with type 1 diabetes mellitus receiving living-related kidney transplant.接受胰肾联合移植的个体与接受亲属活体肾移植的1型糖尿病个体在移植前特征方面没有差异。
Transplant Proc. 2004 May;36(4):1084-5. doi: 10.1016/j.transproceed.2004.04.064.
9
Should uremic diabetic patients who want a pancreas transplant receive a simultaneous cadaver kidney-pancreas transplant or a living related donor kidney first followed by cadaver pancreas transplant?想要进行胰腺移植的尿毒症糖尿病患者应该接受尸体肾 - 胰腺联合移植,还是先接受亲属活体供肾移植,随后再接受尸体胰腺移植?
Transplant Proc. 1993 Feb;25(1 Pt 2):1184-5.
10
Kidney allograft outcome in simultaneous pancreas-kidney transplantation.胰肾联合移植中同种异体肾移植的结果
Isr Med Assoc J. 2000 Jul;2(7):517-9.

引用本文的文献

1
[Treatment of chronic kidney failure in diabetes mellitus].[糖尿病慢性肾衰竭的治疗]
Klin Wochenschr. 1983 May 16;61(10):499-508. doi: 10.1007/BF01488717.