Bennett W M
JAMA. 1976 Apr 19;235(16):1703-4.
The posttransplant courses of 27 chronic dialysis patients with 29 grafts who had undergone pretransplant bilateral nephrectomy were compared to those of 49 patients with 55 transplant who had no pretransplant surgery during the same time period. The latter had better survival and fewer rejection episodes (P less than .05). The six patients who died of bacterial sepsis after transplantation all had pretransplant surgery. The frequency of post transplant hypertension was similar in both groups. Apparently, pretransplant bilateral nephrectomy offers no advantage to the patient awaiting an allograft.
将27例接受过移植前双侧肾切除术且有29个移植物的慢性透析患者的移植后病程，与同期49例有55个移植物且未进行移植前手术的患者进行比较。后者的生存率更高，排斥反应发作次数更少（P小于0.05）。6例移植后死于细菌性败血症的患者均接受过移植前手术。两组移植后高血压的发生率相似。显然，移植前双侧肾切除术对等待同种异体移植的患者没有优势。
