換腎洗腎存活率比一比

Comparison of Survival between Patients of Renal Transplant and Hemodialysis

王家良(Chia-Liang Wang) ； 楊得政(Te-Chen Yang) ； 王守玠(Shou-Chieh Wang) ； 張淑鈺(Shu-Yu Chang)

《腎臟與透析》 28卷1期 (2016/03) Pp. 1-4

https://doi.org/10.6340/KD.2016.28(1).01

摘要

當病人進入末期腎病，需接受腎臟代替療法時，有三個選擇：血液透析、腹膜透析、腎臟移植。腎臟移植能改善末期腎病病患的存活率和生活品質，所以，腎臟移植是腎臟取代療法的首選。例如，糖尿病尿毒患者接受腎臟移植的5年存活率為75~80%，而接受血液透析為30%。腎臟移植比較於血液透析，可以改善存活率，但其真正原因不明，應該是腎臟移植後，正常腎功能所帶來的益處。

關鍵字

腎臟移植 ； 血液透析 ； 存活率

並列摘要

The patients suffer from end-stage renal disease and must receive renal replacement therapy, including of hemodialysis, peritoneal dialysis, renal transplantation. Renal transplantation can improve survival and life quality of patients with end-stage renal disease. Survival of diabetic patients after renal transplantation is 75 ~ 80% at five years, markedly better than those seen with dialysis, where the five-year patient survival rate is 30%. The underlying reasons for improved survival with renal transplantation, compared with dialysis, are unclear. However, since a functioning renal allograft more closely resembles a normal kidney than does maintenance dialysis therapy, it is possible that the survival benefit may result in part from improved clearance of uremic toxins.

並列關鍵字

renal transplant ； hemodialysis ； survival rate