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目的 观察胰肾联合移植治疗胰岛素依赖型糖尿病合并肾功能衰竭的效果。方法 为１ 例胰岛素依赖型糖尿病合并肾功能衰竭的患者施行胰肾同期联合移植， 移植胰的外分泌采用肠内引流。结果 移植胰术后第１ ｄ 恢复正常功能， 移植肾术后第３ ｄ 恢复正常功能， 术后１ 周停用胰岛素， 空腹及餐后血糖正常， 未发生急性排斥反应及肠内引流术式的相关并发症。结论 肠内引流式同期胰肾联合移植是治疗糖尿病合并肾功能衰竭的较好术式。
Objective To observe the effect of combined pancreas-kidney transplantation on insulin-dependent diabetes mellitus with renal failure. Methods One case of insulin-dependent diabetes mellitus with renal failure patients underwent simultaneous pancreas and kidney transplantation, exocrine pancreas exudation by enteral drainage. Results The pancreas returned to normal function on the 1st day after transplantation, and returned to normal function on the 3rd day after transplantation. The insulin was stopped 1 week after the operation, and the fasting and postprandial blood glucose were normal. There was no acute rejection or intestinal drainage Related complications. Conclusions Simultaneous enteral drainage and pancreas-kidney transplantation is a better method for the treatment of diabetic patients with renal failure.