Ghép thận trên bệnh nhân suy thận mạn giai đoạn cuối do thận đa nang kinh nghiệm tại Bệnh Viện Nhân Dân 115

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Tác giả: Đình Hiếu Lê, Hoàng Thịnh Lê, Quang Trung Ngô, Phước Hải Nguyễn, Hải Phong Trần, Lê Duy Anh Trần, Phúc Hòa Trần, Thanh Phong Trần, Hoàng Minh Trương, Sỹ Vinh Trương

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2024

Mô tả vật lý: tr.46005

Bộ sưu tập: Báo, Tạp chí

ID: 372021

Thêm vào giỏ Liên kết toàn văn

Background: Indications for polycystic nephrectomy before transplantation are still controversial. We present cases of polycystic kidney disease undergoing kidney transplant at People’s Hospital 115 to survey of clinical and paraclinical characteristics of patients with kidney failure due to polycystic kidneys undergoing kidney transplantation and indications for polycystic nephrectomy before transplant
and review of kidney transplant results in patients with polycystic kidneys undergoing kidney transplant at People’s Hospital 115. Methods: Retrospective description of case series. Results: There were 8/313 patients (2.5%) with polycystic kidney disease and 305 patients (97.5%) without polycystic kidney disease who received kidney transplants at People’s Hospital 115 from February 2004 to August Average age of 8 patients with polycystic kidney disease: 57.21 ± 3.76 years old (52 - 68 years old), 5/8 men and 3/8 women. Polycystic nephrectomy: 2/8 patients, all due to kidney infection. Results after kidney transplant surgery: 7/8 patients had urine right at the table, 1/8 patients had urine when they went to the recovery room. There was 1 patient with urinary tract infection after kidney transplant due to Pseudomonas putida and stabilized after 7 days of treatment. Graft survival at 1 year and 5 years is 8/8 TH (100%). No surgical complications, acute tubular necrosis and acute graft rejection were recorded in these 8 cases. Conclusions: The rate of polycystic kidney disease undergoing kidney transplant at People’s Hospital 115 is 8/313 cases (2.5%). There were 2/8 cases of polycystic nephrectomy before transplant due to kidney infection. There was 1 patient with UTI after kidney transplant due to Pseudomonas putida and stabilized after 7 days of treatment. Graft survival rate at 1 year and 5 years is 8/8 cases (100%).Đặt vấn đề: Chỉ định cắt thận đa nang trước ghép còn nhiều tranh luận. Chúng tôi trình bày các trường hợp bị bệnh thận đa nang được ghép thận tại Bệnh viện Nhân Dân115 (BVND 115) nhằm khảo sát đặc điểm lâm sàng, cận lâm sàng các bệnh nhân bị suy thận do thận đa nang được ghép thận và chỉ định cắt thận đa nang trước ghép
và nhận xét kết quả ghép thận ở những bệnh nhân có thận đa nang được ghép thận tại BVND 115. Đối tượng và phương pháp: Hồi cứu mô tả loạt ca. Kết quả: Có 8/313 (2,5%) trường hợp (TH) bệnh thận đa nang và 305/313 TH (97,5%) không có bệnh thận đa nang được ghép thận tại BVND 115 từ tháng 2/2004 đến tháng 8/2020. Tuổi trung bình của 8 TH bệnh thận đa nang: 57,21 ± 3,76 tuổi (52 - 68 tuổi), có 5/8 nam và 3/8 nữ. Mổ cắt thận đa nang: 2/8 TH, đều do nhiễm trùng thận. Kết quả sau mổ ghép thận: 7/8 TH có nước tiểu ngay tại bàn, 1/8 TH ra phòng hồi tỉnh có nước tiểu. Có 1 TH bị nhiễm khuẩn đường tiết niệu (NKĐTN) sau ghép thận do Pseudomonas putida điều trị ổn định sau 7 ngày. Sống còn thận ghép: 1 năm và 5 năm là 8/8 TH (100%). Không ghi nhận biến chứng ngoại khoa, hoại tử ống thận cấp và thải ghép cấp ở 8 TH này. Kết luận: Tỉ lệ bệnh thận đa nang được ghép thận tại BVND 115 là 8/313 TH (2,5%). Có 2/8 TH cắt thận đa nang trước ghép đều do thận bị nhiễm trùng. Sống còn thận ghép tại thời điểm 1 năm và 5 năm là 8/8 TH (100%) Có 1 TH bị NKĐTN sau ghép nhưng điều trị ổn định.

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