肾移植术前尿毒症患者合并症的手术治疗体会

目的 总结肾移植术前尿毒症合并症的手术治疗体会。以提高肾移植预后，方法 回顾性分析１９７８年至今尿毒症合并症３９例的手术指征。围手术期治疗以及肾移植预后情况，其中成人性多囊肾９例、药物不可控制性高血压２１例、脾功能亢进４例、胃溃疡５例。结果 ９例多囊肾切除术后１～６个月行肾移植术。随访肾功能正常；２１例高血压患者术后血压不同程度下降，术后６～１２个月行同种肾移植术，肾功能稳定；４例脾脾切除患者肾移

The surgical therapy for patient with uremic complication before renal transplantation

Objective To summary the experience in surgical therapy for uremic complication before renal transplantation in order to improve renal transplantation prognosis. Methods Clinical data of surgical therapy for various uremic complications including polycystic kidney, uncontrolled hypertension, hypersplenism, gastric ulcer from 1978 to 1999 were analyzed. Results Renal transplantation was carried out in 9 patients with polycystic kidney 1 to 6 months after removal of kidney, the follow up renal function was normal. The blood pressure was decreased at various degrees in 21 cases of hypertension after operation, then the patients received the renal transplantation 6 12 months after operation and renal function was stable. The renal function in 4 patients with splenotomy and 5 patients with gastrectomy quickly recovered to normal after renal transplantation. Conclusions Uremic sydrome through effective conservation treatment might be required surgical therapy in order to increase the surgical chances of renal transplantation and postoperative kidney survival rate.