自家腎移植の経験

概要

論文の詳細を見る
腎血管性高血圧の2例では術後速やかに正常血圧に復し,腎機能の改善を得た.多発性腎結石及び複雑なサンゴ状腎結石の3例には体外腎手術・自家腎移植を施行し,結石の完全摘出,尿所見の改善,腎機能の保存を得た.なお,個々の症例について具体的に述べたWe present 2 cases with renovascular hypertension treated by renal autotransplantation and 3 cases with extensive renal calculi treated by renal bench surgery and autotransplantation. The cases with renovascular hypertension were due to fibromuscular dysplasia in the trunk of renal artery, and return to normotension and improvement of renal function were obtained within a few days after the operation. In 2 of the cases with extensive renal calculi, the contralateral kidney was contracted. In all cases, the stones were removed completely and urinary tract infection persisting before operation was eradicated. The postoperative renal function was well preserved and no recurrence of renal calculi was observed throughout the follow up period. The indication of renal bench surgery and autotransplantation was discussed both for renal calculi and renovascular hypertension.