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目的:总结活体亲属供肾肾移植的临床经验。方法:回顾性总结10例活体亲属供肾肾移植患者的临床效果及供者捐肾后的情况。结果:10例供者供肾后未出现严重的并发症,术后7～10天出院。10例受者均为首次肾移植,术后6～24个月随访,肾功能恢复良好,仅1例出现急性排斥反应,经激素冲击治疗后逆转,人/肾存活率为100%。结论:活体亲属供肾肾移植是安全可行的,受者人/肾存活率优于尸体供肾;活体亲属供肾是扩大供肾来源的较好途径。
OBJECTIVE: To summarize the clinical experience of donor kidney transplantation for living relatives. Methods: The clinical effects of donor kidney transplantation in 10 cases of living relatives and donor kidney donation were retrospectively reviewed. Results: There were no serious complications in 10 donors after renal donation. The patients were discharged from 7 to 10 days after operation. All the 10 recipients were the first recipients of kidney transplantation. After 6-24 months of follow-up, the renal function recovered well. Only 1 patient showed acute rejection and the hormone / shock treatment was reversed. The survival rate of human / kidney was 100%. CONCLUSION: Living relative donor kidney transplantation is safe and feasible, and the recipient / kidney survival rate is superior to that of cadaver donor kidney. Living relative donor kidney is a better way to expand the donor kidney.