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术前不同CAPD时间对移植肾存活影响的初步观察

EFFECTS OF DIFFERENT DURATIONS OF CAPD PRIOR TO RENAL TRANSPLANTATION ON THE GRAFT SURVIVAL

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【作者】 屈燧林; 杨宇如; 唐孝达; 唐科士; 张福林; 周素芸; 邓显昭;

【Author】 Qu Suilin;Yang Yuru;Tang Xiaoda;Tang Keshi;Zhang Fulin;Zhou Suyun;Deng Xianzhao Department of Internal Medicine Department of Surgery Department of Health Statistics

【机构】 华西医科大学内科学教研室; 华西医科大学外科学教研室; 华西医科大学卫生统计学教研室; 华西医科大学外科学教研室;

【摘要】 对30例持续性非卧床腹膜透析(CAPD)准备的慢性肾功能衰竭患者,按接受尸体肾移植术前的CAPD 时间分两组进行分析。Ⅰ组CAPD≤6月,Ⅱ组CAPD>6月。结果两组除CAPD时间有显著差异外,年龄、性别、原发病、肾功、术前输血频数、组织配型和免疫抑制剂的使用均相似。病例随访资料分析法表明,1年移植肾存活率Ⅰ组为80%,Ⅱ组为70%,无显著差异存在。CAPD 适合于肾移植病例术前准备。

【Abstract】 Thirty cases with chronic renal failurethat were prepared by CAPD receivingcadaveric renal transplantation were report-ed. According to the duration of dialysis,patients were divided into two groups.Casesin group Ⅰ had dialysed for 6 months orless, and those in group Ⅱ for more than6 months prior to renal transplantation.Except for the difference in duration ofCAPD, there were no significant differencesbetween two groups in terms of age, sex,original renal diseases, creatinine clearance,frequencies of blood transfusion beforeoperation. Histological matching and meth-ods in prevention from and control of rejec-tion were also similar in the two groups.It was revealed from the Kaplan-Meier curvethat one year graft survival after transplan-tation was 80% in group Ⅰ and 70% in groupⅡ,respectively.No difference was found ingraft survival between two groups.In ouropinion, CAPD is a suitable treatment forpatients awaiting renal transplantation.

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