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本文着重介绍采用年龄超过60岁的尸体和活体肾进行肾移植术的经验。作者于1980年至1988年共施行肾移植术577次,活体供体为101人,其中年龄在60～78岁者25人(平均67岁)。受体平均年龄为34岁(13～43岁)。术后平均随访4.6年。移植后急性肾小管坏死的发生率为16％,病人和移植肾的1年存活率分别为92％和89％。仅2例于术后1年内死亡。 1983年和1988年共施行肾移植术420次,尸体供体384例,其中年龄在60岁以上者21例(60～67岁,平均61.7岁)。受体平均年龄为48.1岁,术后平均随访3.4年。急性肾小管坏死的发生率为52％,仅1例移植肾无功能。病人和移植肾的1年存
This article focuses on the experience of using kidney transplants with bodies over 60 years of age and live kidneys. The author conducted 577 kidney transplantations between 1980 and 1988 with 101 donors living, of whom 25 were aged 60 to 78 years (mean, 67 years). Recipients average age of 34 years (13 to 43 years old). After an average of 4.6 years follow-up. The incidence of acute tubular necrosis after transplantation was 16%, and the one-year survival rates of patients and transplant recipients were 92% and 89%, respectively. Only 2 patients died within 1 year after surgery. In 1983 and 1988, a total of 420 kidney transplants were performed and 384 cadaveric donors, of whom 21 (60 to 67 years, mean 61.7 years) were over 60 years of age. The average age of recipients was 48.1 years and the mean follow-up was 3.4 years. The incidence of acute tubular necrosis was 52%, and only 1 patient had no functional graft. One-year survival of patients and transplant kidneys