Retrospective Analysis On 104 Case Times Of Renal Transplantation

Object: To get a better understanding of the survival rate of renal transplantation and its influencing factors and investigate the feasibility of the computerized database. Methods: a renal transplantation database and its management system were constructed on the basis of FoxPro software, clinical date and follow-up information of 104 cases of renal transplantation collected from 2000 to 2005 in the first affiliated hospital of Xinjiang medical university were entered into this database. Results: Using this new database, statistical review of the possible factors that could influence the transplant effect such as preoperative preparation, HLA match, quality of donor's kidney and surgical procedure, immunosuppressive therapy were accomplished.1 year survival rate(%) of of patient/kidney was 91.7/84.4; 22 cases had acute rejection, after using MP/OKT3,most of which were recovered, superacute rejection only occurred in two cases, all underwent nephrectomy, in the post-transplantation, 47 cases suffered from infections,20 had drug toxicity, 8 cases had surgical complications.8 cases died,5 of which died from serious pulmonary infection,.2 cases died from cardiovascular accident.Conclusion: application of modern information and computer technology greatly facilitates case management and clinical research of renal transplantation,standardized and elemental processing of the clinical data offers a new possibility for easy case information management. The well preoperation, high quality of donor's kidney and ideal HLA match were keys for successful transplantation,reduction of complication, individual and combined medication in reason were very important in the long-term survival rate.