关键词:

肾移植 , 糖尿病终末期肾病 , 围术期 , 并发症

Abstract:

Objective To explore the characteristics of perioperative complications in renal transplant recipients with diabetic end-stage renal disease. Methods Sixty-three patients with diabetic end-stage renal disease transplanted in the renal transplantation department of the First Affiliated Hospital of Xi'an Jiaotong University during January 2015 to January 2022 were selected as the experimental group （the diabetic group）， and 61 recipients receiving thekidney on the other side of the same donor were selected as the control group （the non-diabetic group）. Preoperative clinical data and perioperative complications of renal transplantation were compared between the two groups. Statistical analysis was performed using the SPSS 22.0 software. Results The study found significant difference in age， body mass index， time of onset， bladder residual urine， incidence of medium-to-severe coronary artery stenosis and iliac artery lesions （P＜0.05）.In the diabetic group， patients had a higher incidence of delayed graft function， cardiovascular and cerebrovascularcomplications， poor incision healing， and urine leakage， resulting in significantly longer graft function recovery time and hospitalization time （P ＜ 0.05）. Conclusion In the perioperative period of renal transplantation， the incidence of complications of patients with diabetic end-stage renal disease are higher，these complications can affect the recovery oftransplanted kidney function in the short term，but most of the complications are controllable， and a relatively satisfactorytransplantation effect can still be achieved after active treatment. 

Key words:

Kidney transplantation； , Diabetic end-stage kidney disease； , Perioperative period； , Complications