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丙型肝炎与肝移植

Hepatitis C and liver transplantation.

作者信息

Tsoulfas G, Goulis I, Giakoustidis D, Akriviadis E, Agorastou P, Imvrios G, Papanikolaou V

机构信息

Surgical Department of Transplantation, Aristotle University, Hippokratio General Hospital, Thessaloniki, Greece.

出版信息

Hippokratia. 2009 Oct;13(4):211-5.

PMID:20011084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2776333/
Abstract

Cirrhosis due to chronic hepatitis C is the leading indication for liver transplantation in Europe, United States and Japan. Reinfection after liver transplantation is universal and chronic liver disease develops in at least 70% of patients at 3 years, with an accelerated course compared to the nontransplant setting. These facts underscore the need for a better understanding of hepatitis C infection and the various treatment modalities. This paper attempts a brief review of the scope of the disease, as well as the different treatment modalities, with special emphasis given to orthotopic liver transplantation.

摘要

在欧洲、美国和日本,慢性丙型肝炎所致肝硬化是肝移植的主要适应证。肝移植后再感染很普遍,至少70%的患者在3年内会发展为慢性肝病,与未进行移植的情况相比,病程进展加快。这些事实凸显了更好地了解丙型肝炎感染及各种治疗方式的必要性。本文试图简要综述该病的范围以及不同的治疗方式,特别强调原位肝移植。

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本文引用的文献

1
Clinical outcome of HCV-related graft cirrhosis and prognostic value of hepatic venous pressure gradient.丙型肝炎病毒相关移植肝肝硬化的临床结局及肝静脉压力梯度的预后价值
Transpl Int. 2009 Feb;22(2):172-81. doi: 10.1111/j.1432-2277.2008.00744.x. Epub 2008 Sep 10.
2
Emerging antiviral drugs.新型抗病毒药物。
Expert Opin Emerg Drugs. 2008 Sep;13(3):393-416. doi: 10.1517/14728214.13.3.393.
3
Anonymous pilot study of hepatitis C virus prevalence in liver transplant surgeons.肝移植外科医生丙型肝炎病毒感染率的匿名试点研究。
Liver Transpl. 2006 Jul;12(7):1084-8. doi: 10.1002/lt.20757.
4
Report of the monothematic EASL conference on liver transplantation for viral hepatitis (Paris, France, January 12-14, 2006).关于病毒性肝炎肝移植的单主题欧洲肝脏研究学会会议报告(法国巴黎,2006年1月12 - 14日)
J Hepatol. 2006 Jul;45(1):127-43. doi: 10.1016/j.jhep.2006.05.001. Epub 2006 May 15.
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Live donor liver transplantation for hepatitis C: new data, old story.
Liver Transpl. 2006 Apr;12(4):516-9. doi: 10.1002/lt.20656.
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Positive serum cryoglobulin is associated with worse outcome after liver transplantation for chronic hepatitis C.
Transplantation. 2005 Aug 27;80(4):448-56. doi: 10.1097/01.tp.0000164826.84041.f0.
7
Global epidemiology of hepatitis C virus infection.丙型肝炎病毒感染的全球流行病学
Lancet Infect Dis. 2005 Sep;5(9):558-67. doi: 10.1016/S1473-3099(05)70216-4.
8
Hepatitis C and liver transplantation.丙型肝炎与肝移植
Nature. 2005 Aug 18;436(7053):973-8. doi: 10.1038/nature04083.
9
Treatment of hepatitis C.丙型肝炎的治疗。
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Treatment of advanced hepatitis C with a low accelerating dosage regimen of antiviral therapy.采用低加速剂量方案的抗病毒疗法治疗晚期丙型肝炎。
Hepatology. 2005 Aug;42(2):255-62. doi: 10.1002/hep.20793.