Long-term hemodialysis well

Long-term hemodialysis and peritoneal dialysis arevarying degrees of immune dysfunction. Cellular immunity has a very important role in kidney transplantation, T cell activation is the central link. Many studies have shown thatthe total number of lymphocytes of the peritoneal dialysis than hemodialysis, close to thenormal level; lymphocyte proliferation and other cellular immune function thanhemodialysis patients.
The survival of the transplanted kidney is the most direct indicators of evaluation of renal transplantation. There are reports that: In peritoneal dialysis patients after renal transplantation, the incidence of acute rejection up to 50%, and reduced postoperativesurvival rate. Diabetes than non-diabetic low survival rate in peritoneal dialysis and graft survival difference was not significant. But the majority of reported results show thatregardless of adults or children, or kidney survival rates after kidney transplantation, no significant difference between hemodialysis and peritoneal dialysis in two ways.
The infection is common and important complications after renal transplantation. A large number of clinical observations suggest that: the use of hemodialysis or peritonealdialysis patients, the wound in the non-peritonitis, respiratory and urinary tract infectionsno difference. However, in peritoneal dialysis patients after renal transplantation, about5% to 36% of peritonitis, a serious abdominal infection affect patient safety.
Peritoneal dialysis patients to prepare before the kidney transplant surgery, or delayed recovery of graft function after avoiding the use of heparin can reduce the risk ofintraoperative and postoperative bleeding. Transplanted to the effect of the preoperative nutritional status, and peritoneal dialysis patients prone to malnutrition, may affectsurgical wound healing.
Current preference changed from peritoneal dialysis to hemodialysis treatment before kidney transplantation. If the dialysis tube tunnels or tunnel infection or pancreas and kidney transplantation, kidney transplant removal of peritoneal dialysis tube. No infectionin the removal of 2-3 months after renal transplantation, in order to peritoneal dialysistransition to the functional recovery of delayed graft function.