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子宫移植:在边缘。

Uterus transplantation: on the edge.

机构信息

Indiana University, Simon Cancer Center, Department of Ob-Gyn, Indianapolis, Indiana 46202, USA.

出版信息

Semin Reprod Med. 2011 Jan;29(1):55-60. doi: 10.1055/s-0030-1268704. Epub 2011 Jan 4.

DOI:10.1055/s-0030-1268704
PMID:21207334
Abstract

Uterus transplantation for absolute uterus factor infertility is moving closer to human trials. The indication for uterus transplantation is evident as is its potential to ameliorate the social and personal burdens of these patients. The extensive collaborative research efforts between animal works, advancements in transplantation medicine, and immune suppression have culminated in demonstrating its apparent feasibility. As for the concerns regarding its risk, in perspective it is similar to other high-risk pregnancies. Moving uterus transplantation toward clinical applications obviously will require a continued commitment of research and support.

摘要

子宫移植治疗因子宫因素导致的不孕正逐步进入临床试验阶段。子宫移植适应证明确,且有潜力减轻此类患者的社会和个人负担。动物实验、移植医学进步和免疫抑制方面的广泛合作研究,最终证明了其明显的可行性。至于对其风险的担忧,从长远来看,它与其他高危妊娠类似。将子宫移植推向临床应用显然需要持续的研究和支持。

相似文献

1
Uterus transplantation: on the edge.子宫移植:在边缘。
Semin Reprod Med. 2011 Jan;29(1):55-60. doi: 10.1055/s-0030-1268704. Epub 2011 Jan 4.
2
Preclinical report on allogeneic uterus transplantation in non-human primates.非人类灵长类动物同种异体子宫移植的临床前报告。
Hum Reprod. 2013 Jan;28(1):189-98. doi: 10.1093/humrep/des381. Epub 2012 Oct 28.
3
Experimental uterus transplantation.实验性子宫移植。
Best Pract Res Clin Obstet Gynaecol. 2014 Nov;28(8):1198-210. doi: 10.1016/j.bpobgyn.2014.07.018. Epub 2014 Aug 6.
4
Transplantation of the uterus.
Mol Cell Endocrinol. 2003 Apr 28;202(1-2):177-84. doi: 10.1016/s0303-7207(03)00080-7.
5
Uterine transplantation: what else needs to be done before it can become a reality?子宫移植:在其成为现实之前还需要做些什么?
J Obstet Gynaecol. 2013 Apr;33(3):232-8. doi: 10.3109/01443615.2012.734870.
6
Uterus transplantation: animal research and human possibilities.子宫移植:动物研究与人类可能性。
Fertil Steril. 2012 Jun;97(6):1269-76. doi: 10.1016/j.fertnstert.2012.04.001. Epub 2012 Apr 28.
7
Transplantation of the Uterus.
J Perinat Neonatal Nurs. 2017 Jan/Mar;31(1):86-87. doi: 10.1097/JPN.0000000000000236.
8
Experimental uterus transplantation.实验性子宫移植。
Hum Reprod Update. 2010 May-Jun;16(3):329-45. doi: 10.1093/humupd/dmp049. Epub 2009 Nov 7.
9
The Montreal Criteria for the Ethical Feasibility of Uterine Transplantation.蒙特利尔子宫移植伦理学可行性标准。
Transpl Int. 2012 Apr;25(4):439-47. doi: 10.1111/j.1432-2277.2012.01438.x. Epub 2012 Feb 23.
10
First report on fertility after allogeneic uterus transplantation.首例异体子宫移植后生育报告。
Acta Obstet Gynecol Scand. 2010 Nov;89(11):1491-4. doi: 10.3109/00016349.2010.520688. Epub 2010 Sep 30.

引用本文的文献

1
Uterus transplantation: Toward clinical application in Japan.子宫移植:迈向在日本的临床应用。
Reprod Med Biol. 2017 Aug 6;16(4):305-313. doi: 10.1002/rmb2.12048. eCollection 2017 Oct.
2
Modified uterine allotransplantation and immunosuppression procedure in the sheep model.改良的绵羊子宫同种异体移植及免疫抑制处理方法。
PLoS One. 2013 Nov 22;8(11):e81300. doi: 10.1371/journal.pone.0081300. eCollection 2013.
3
A tissue-engineered human endometrial stroma that responds to cues for secretory differentiation, decidualization, and menstruation.
一种组织工程化的人子宫内膜基质,可响应分泌分化、蜕膜化和月经的信号。
Fertil Steril. 2012 Apr;97(4):997-1003. doi: 10.1016/j.fertnstert.2012.01.098. Epub 2012 Feb 10.
4
Use of cyclosporine in uterine transplantation.环孢素在子宫移植中的应用。
J Transplant. 2012;2012:134936. doi: 10.1155/2012/134936. Epub 2011 Nov 10.