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赫尔辛基的肾移植:移植后早期因素对长期存活的影响

Renal transplantation in Helsinki: influence on long-term survival of early posttransplant factors.

作者信息

Salmela K, Kyllönen L

机构信息

4th Department of Surgery, Helsinki University Central Hospital, Finland.

出版信息

Clin Transpl. 1999:173-9.

PMID:11038635
Abstract
  1. The half-life of kidney grafts performed at Helsinki University Central Hospital has tripled from 6.5 years in 1980-84 to 17.1 years in the 1990's. 2. Delayed graft function constitutes a significant determinant of later kidney graft survival. Five-year graft survival was 81% for patients with early graft function and 71% for those with DGF. 3. High (> 350 mg/L) early (10 +/- 2 days after transplantation) cyclosporine trough levels were associated with inferior long-term graft survival. The 5-year graft survival rate was 74% compared with 86% for patients with trough levels between 250-349 mg/L. 4. Posttransplant conversion of the crossmatch test against the kidney donor, especially in association with DGF, indicates a group with significantly worse prognosis. Among 76 patients who developed antidonor antibody after transplantation, half experienced an acute rejection within 100 days and the 5-year graft survival rate was 68% compared with 83% for non-converters.
摘要
  1. 赫尔辛基大学中心医院进行的肾移植半衰期已从1980 - 1984年的6.5年增至20世纪90年代的17.1年,增长了两倍。2. 移植肾功能延迟是影响后期肾移植存活的一个重要因素。移植肾功能恢复早的患者5年移植肾存活率为81%,而移植肾功能延迟的患者为71%。3. 早期(移植后10±2天)环孢素谷值水平高(>350mg/L)与长期移植肾存活不佳相关。谷值水平在250 - 349mg/L的患者5年移植肾存活率为86%,而谷值水平>350mg/L的患者为74%。4. 肾移植后针对供肾的交叉配型试验结果转变,尤其是与移植肾功能延迟相关时,提示预后明显较差的一组患者。在76例移植后产生抗供体抗体的患者中,半数在100天内发生急性排斥反应,5年移植肾存活率为68%,而交叉配型试验结果未转变的患者为83%。

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Renal transplantation in Helsinki: influence on long-term survival of early posttransplant factors.赫尔辛基的肾移植:移植后早期因素对长期存活的影响
Clin Transpl. 1999:173-9.
2
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Delayed graft function has an equally bad impact on deceased donor renal graft survival in both standard criteria donors and expanded criteria donors.延迟移植肾功能对标准标准供体和扩大标准供体的尸体供肾移植存活有着同样不良的影响。
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Cyclosporine withdrawal improves long-term graft survival in renal transplantation.停用环孢素可提高肾移植的长期移植物存活率。
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