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针对高敏受者的协作移植研究肾脏交换试验

Collaborative Transplant Study Kidney Exchange Trial for highly sensitized recipients.

作者信息

Opelz G

机构信息

Department of Transplantation Immunology, University of Heidelberg, Germany.

出版信息

Clin Transpl. 1991:61-4.

PMID:1820146
Abstract
  1. A better than 70% 1-year graft success rate was obtained in highly sensitized recipients of first and second kidney transplants. Recipients of third or fourth transplants had a 25% lower success rate. 2. The results of this trial show a strong influence of HLA matching in highly sensitized recipients. HLA-DR mismatches appear to be most deleterious, followed by HLA-B mismatches. 3. Thirty transplants with 0 mismatches for HLA-B, -DR had an excellent 88% 1-year graft survival rate. 4. The strong effect of HLA matching mandates the national and international exchange of kidneys for highly sensitized recipients.
摘要
  1. 在首次和第二次肾移植的高敏受者中,获得了超过70%的1年移植成功率。第三次或第四次移植的受者成功率低25%。2. 该试验结果显示HLA配型对高敏受者有很大影响。HLA-DR错配似乎最有害,其次是HLA-B错配。3. 30例HLA-B、-DR无错配的移植手术有出色的88%的1年移植存活率。4. HLA配型的显著作用要求在国内和国际上为高敏受者交换肾脏。

相似文献

1
Collaborative Transplant Study Kidney Exchange Trial for highly sensitized recipients.针对高敏受者的协作移植研究肾脏交换试验
Clin Transpl. 1991:61-4.
2
Influence of HLA antigens of renal transplant recipients on graft survival.肾移植受者的HLA抗原对移植物存活的影响。
Transplant Proc. 1992 Dec;24(6):2461-2.
3
The changing role of HLA matching.人类白细胞抗原匹配的角色转变
Clin Transpl. 1986:141-55.
4
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Transplant Proc. 1992 Dec;24(6):2485-7.
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Reliability of HLA typing on peripheral blood lymphocytes in cadaveric organ donors and the impact of blank donor antigens on kidney graft survival.
Transplant Proc. 1992 Dec;24(6):2488-9.
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Kidney transplantation, the Halifax experience.肾移植:哈利法克斯的经验
Clin Transpl. 1996:231-40.
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Repeated mismatches may not impair survival of renal regrafts in recipients with 0% to 50% panel reactive antibodies.对于群体反应性抗体为0%至50%的受者,反复出现的配型不符可能不会损害肾移植的存活。
Transplant Proc. 1992 Dec;24(6):2469.
8
HLA matching: univariate and multivariate analyses of UNOS Registry data.人类白细胞抗原匹配:对器官共享联合网络登记数据的单变量和多变量分析
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Sensitization in renal transplantation.肾移植中的致敏作用。
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Kidney transplantation in the United States.美国的肾脏移植
Clin Transpl. 2008:1-18.