土耳其新医院模式下的肾移植:安卡拉市医院3年的经验

M. Yilmaz, M. Şi̇ri̇n, M. Karaaslan, M. Polat, Esin Ölçücüoğlu, Erkan Ölçücüoğlu
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摘要

摘要目的:城市医院作为一种新型的医院模式,在土耳其大约20个不同的城市开始服务。在这项研究中,我们旨在展示安卡拉市医院肾移植部门3年来的经验,该部门已经超过100例,作为一种新的医院模式。材料和方法:我们回顾性收集了在安卡拉市医院泌尿外科接受活体或尸体肾移植的101例终末期肾病患者的资料。记录受者和供者的人口学资料、术后并发症、患者存活率和移植物功能。结果:随访36个月,患者和移植体的存活率分别为96%和98%。移植后第一天、1个月、6个月、12个月、18个月、24个月和36个月的血清肌酐水平中位数分别为1,3(范围0,7-5,7)mg/dl、1,3(范围0,8-1,7)mg/dl、1,3(范围0,8-2,5)mg/dl、1,3(范围0,7-2)mg/dl、1,2(范围0,8-1,9)mg/dl、1,4(范围0,8-2,4)mg/dl和1,4(范围,1-2,4)mg/dl。6例(5.9%)尿瘤患者采用导尿和经皮引流保守治疗。2例(2%)患者出现肾动脉狭窄。结论:肾移植仍然是土耳其和世界ESRD患者最重要的治疗选择。在我们的中心,我们观察到在36个月的随访中移植物功能的结果是可以接受的。关键词:城市医院,移植物功能,肾移植
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kidney Transplantation in the New Hospital Model in Turkey: 3 Years of Experience in Ankara City Hospital
ABSTRACT Objective: City hospitals, as a new model hospital, started to serve in approximately 20 different cities in Turkey. In this study, we aimed to present the 3 years experience of Ankara City Hospital kidney transplant unit, which has exceeded 100 cases, as a new hospital model. Materials and Methods: We retrospectively collected the data of 101 end-stage renal disease patients who underwent live or cadaveric kidney transplantation in the Department of Urology at Ankara City Hospital. The demographic data of the recipient and donor, postoperative complications, patient survival and graft functions were recorded. Results: Patient and graft survival rates of the recipients were 96% and 98% at 36 months follow-up, respectively. The median serum creatinine level at post-op first day, 1 months, 6 months, 12 months, 18 months, 24 months and 36 months posttransplantion was 1,3 (range, 0,7-5,7) mg/dl, 1,3 (range, 0,8-1,7) mg/dl, 1,3 (range, 0,8-2,5) mg/dl, 1,3 (range, 0,7-2) mg/dl, 1,2 (range, 0,8-1,9) mg/dl, 1,4 (range, 0,8-2,4) mg/dl and 1,4 (range, 1-2,4) mg/dl, respectively. 6 (5,9%) patients with urinoma were treated conservatively with urinary catheterization and percutaneous drainage. Renal artery stenosis was observed in 2 (2%) patients. Conclusion: Kidney transplantation is still the most important treatment option for ESRD patients in Turkey as in the world. In our center, we observed that graft function results were acceptably good at 36 months follow-up. Keywords: city hospital, graft function, kidney transplantation
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