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KMID : 0361119920060010105
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Korean Journal of Transplantation
1992 Volume.6 No. 1 p.105 ~ p.114
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Clinical Outcome of Renal Transplantation in Children
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김용신
정구용/김유선/류기선/조홍래/이재승/김병길/박기일
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Abstract
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Renal transplantation in children was increased gradually by improved operation success rate. excellent quality of life and acceralated increment of height aftertransplantation. Twenty patients(,16 years old) were treated with renal
trans-plantation
from Nov. 1, 1979 to May 31, 1992 at Severance hospital, Yonsel University College of Medicine and followed through Sep. 30. 1992. All patients were acceptedfrom living donor: ten from related donor (LRD) and ten unrelated donor(LURD). The
authors
evaluated clinical status, including height increment and psychoemotionalstate after renal transplantation. Sex ratio of recipients were composed of 16 malesand 4 females, and the mean age was 11.1 years old(range; 7~15). The leading causes of
renal
failure were Alport's syndrome in 3 patients. Chronic pyelonephritis with hydronephrosis in 2. congenital hypoplasia in 1. VUR in 2 and chronic glomeruloneph-ritis in 12. Among 20 patients, 6 were undertaken by renal transplantation with
bilateral
nephrectomy and by renal transplantation with right nephrectmy in 2. Immuno-suppression after transplantation was with CsA and prednisone in 18 patients. and with AZA and prednisone in 2. Height acceralation(catch-up growth) was appeared in 7
among
20
patients, but was delayed in the remaining 13 patients and the chronologicage was more than 12 years old in 6 among remaining 13 patients. School performance(including adjustment) tended to average or overaverage in 12 among 15 patient.
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