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[亲属肾移植的相关方面]

[Aspects of the transplantation of kidneys from relatives].

作者信息

Belorusov O S, Goriaĭnov V A

出版信息

Khirurgiia (Mosk). 1998(6):45-8.

PMID:9680803
Abstract

104 transplantations of the kidney from living relative donors (LRD) in patients with an end-stage of chronic renal insufficiency (CRI) were carried out in Research Center of Surgery from April 15, 1965 to November, 1993. Donors of the kidneys were: mother (55), father (21), sister (18), brother (10). Analysis of the accumulated data showed, that the results of LRD transplantations (one year survival of recipients 84 +/- 6%) are much better than those from cadaver donors (one year survival of recipients 33 +/- 6%). The examination of the relative donors in long-term periods after the operation has demonstrated, that nephrectomy in them entails small risk, because it does not negatively influence their psycho-emotional sphere and social status. The reserved (retained) kidney is able to support homeostasis of donor organism during all his life. Therefore the operation of kidney transplantation from living relative donors is the most effective method of treatment of patients with an end-stage of chronic renal insufficiency.

摘要

1965年4月15日至1993年11月,外科研究中心对104例终末期慢性肾功能不全(CRI)患者进行了亲属活体供肾移植。肾脏供体包括:母亲(55例)、父亲(21例)、姐妹(18例)、兄弟(10例)。对积累数据的分析表明,亲属活体供肾移植的结果(受者一年生存率84±6%)远优于尸体供肾移植(受者一年生存率33±6%)。对术后长期的亲属供体进行检查表明,对他们进行肾切除术风险较小,因为这不会对他们的心理情感领域和社会地位产生负面影响。保留的肾脏能够在供体的一生中维持其体内平衡。因此,亲属活体供肾移植手术是治疗终末期慢性肾功能不全患者最有效的方法。

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