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子宫移植:迈向在日本的临床应用。

Uterus transplantation: Toward clinical application in Japan.

作者信息

Suganuma Nobuhiko, Hayashi Ayako, Kisu Iori, Banno Kouji, Hara Hisako, Mihara Makoto

机构信息

Project Team for Uterus Transplantation Japan.

Department of Human Health Sciences Kyoto University Graduate School of Medicine Kyoto Japan.

出版信息

Reprod Med Biol. 2017 Aug 6;16(4):305-313. doi: 10.1002/rmb2.12048. eCollection 2017 Oct.

DOI:10.1002/rmb2.12048
PMID:29259482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5715890/
Abstract

BACKGROUND

In recent years, uterus transplantation (UTx) has been applied as the treatment for patients with uterine factor infertility worldwide. Thus, the clinical application of UTx in Japan should be considered through both the history of UTx technology development in the world and future prospects.

METHODS

Recent information on UTx was collected via a literature survey and the Internet.

RESULTS

Basic research using various animals has been done mainly since 2000. In 2014, the world's first UTx baby was born in Sweden. In total, 24 UTx procedures have been performed at 10 institutes in nine countries and five births were obtained (as of May, 2017). In Japan, the "Project Team for Uterus Transplantation" initiated UTx experiments in 2008 and the "Japan Society for Uterus Transplantation" was organized in March, 2014. In the rest of the world, the "International Society for Uterus Transplantation" was established in January, 2016.

CONCLUSION

Uterus transplantation is still under development as a reproductive medicine tool and organ transplant procedure. A collaborative system that is not limited by facilities and specialties should strive to build an "all-Japan" team.

摘要

背景

近年来,子宫移植(UTx)已在全球范围内应用于治疗子宫因素导致的不孕症患者。因此,应通过子宫移植技术在世界范围内的发展历史和未来前景来考虑其在日本的临床应用。

方法

通过文献调查和互联网收集有关子宫移植的最新信息。

结果

主要自2000年以来已使用各种动物进行了基础研究。2014年,世界上首例子宫移植婴儿在瑞典出生。截至2017年5月,九个国家的10家机构共进行了24例子宫移植手术,并获得了5例分娩。在日本,“子宫移植项目团队”于2008年启动了子宫移植实验,并于2014年3月成立了“日本子宫移植学会”。在世界其他地区,“国际子宫移植学会”于2016年1月成立。

结论

子宫移植作为一种生殖医学工具和器官移植手术仍在发展中。一个不受设施和专业限制的协作系统应努力组建一个“全日本”团队。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b8/5715890/942f67ff9d8a/RMB2-16-305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b8/5715890/942f67ff9d8a/RMB2-16-305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b8/5715890/942f67ff9d8a/RMB2-16-305-g001.jpg

相似文献

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
Uterus Transplantation: A Rapidly Expanding Field.子宫移植:一个迅速发展的领域。
Transplantation. 2018 Apr;102(4):569-577. doi: 10.1097/TP.0000000000002035.
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Current Status of Uterus Transplantation and Approaches for Future Clinical Application in Japan.日本子宫移植的现状及未来临床应用方法
Transplant Proc. 2018 Nov;50(9):2783-2788. doi: 10.1016/j.transproceed.2018.02.198. Epub 2018 Mar 19.
4
Perspectives of 281 patients with Mayer-Rokitansky-Küster-Hauser Syndrome on uterine transplantation.281 例 Mayer-Rokitansky-Küster-Hauser 综合征患者对子宫移植的看法。
Fertil Steril. 2021 Apr;115(4):1074-1083. doi: 10.1016/j.fertnstert.2020.10.044. Epub 2021 Jan 16.
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Uterus Transplantation and the redefinition of core bioethics precepts.子宫移植与核心生命伦理原则的再定义。
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The Interest of Women with Mayer-Rokitansky-Küster-Hauser Syndrome and Laparoscopic Vecchietti Neovagina in Uterus Transplantation.患有迈耶-罗基坦斯基-库斯特-豪泽综合征且接受腹腔镜韦基耶蒂新阴道成形术的女性对子宫移植的兴趣。
J Pediatr Adolesc Gynecol. 2018 Oct;31(5):480-484. doi: 10.1016/j.jpag.2018.04.007. Epub 2018 May 8.
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Uterus transplantation worldwide: clinical activities and outcomes.全球范围内的子宫移植:临床活动和结局。
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Current status of surrogacy in Japan and uterine transplantation research.日本代孕现状和子宫移植研究。
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引用本文的文献

1
Uterus Transplantation as a Therapy Method in Mayer-Rokitansky-Küster-Hauser Syndrome.子宫移植作为治疗 Mayer-Rokitansky-Küster-Hauser 综合征的一种方法
Cureus. 2019 Dec 9;11(12):e6333. doi: 10.7759/cureus.6333.
2
Current Progress in Uterus Transplantation Research in Asia.亚洲子宫移植研究的当前进展
J Clin Med. 2019 Feb 14;8(2):245. doi: 10.3390/jcm8020245.
3
Current status of uterine regenerative medicine for absolute uterine factor infertility.绝对子宫因素不孕症的子宫再生医学现状

本文引用的文献

1
Living Donor Uterus Transplantation: A Single Center's Observations and Lessons Learned From Early Setbacks to Technical Success.活体供体子宫移植:从早期挫折到技术成功的单中心观察和经验教训。
Am J Transplant. 2017 Nov;17(11):2901-2910. doi: 10.1111/ajt.14326. Epub 2017 May 23.
2
[Possibility of uterus transplantation trial in Czech Republic - indications, research and clinical experience].[捷克共和国子宫移植试验的可能性——适应症、研究与临床经验]
Cas Lek Cesk. 2017 Winter;156(1):28-35.
3
Deceased donor uterine transplantation.已故捐赠者子宫移植
Biomed Rep. 2019 Feb;10(2):79-86. doi: 10.3892/br.2019.1182. Epub 2019 Jan 4.
Fertil Steril. 2017 Mar;107(3):e13. doi: 10.1016/j.fertnstert.2016.12.009. Epub 2017 Feb 8.
4
Uterine Tissue Engineering and the Future of Uterus Transplantation.子宫组织工程与子宫移植的未来
Ann Biomed Eng. 2017 Jul;45(7):1718-1730. doi: 10.1007/s10439-016-1776-2. Epub 2016 Dec 19.
5
Live Donors of the Initial Observational Study of Uterus Transplantation-Psychological and Medical Follow-Up Until 1 Year After Surgery in the 9 Cases.子宫移植初始观察性研究的活体供者——9例患者术后1年的心理及医学随访
Transplantation. 2017 Mar;101(3):664-670. doi: 10.1097/TP.0000000000001567.
6
Monitoring of Human Uterus Transplantation With Cervical Biopsies: A Provisional Scoring System for Rejection.通过宫颈活检监测人子宫移植:排斥反应的临时评分系统。
Am J Transplant. 2017 Jun;17(6):1628-1636. doi: 10.1111/ajt.14135. Epub 2017 Jan 3.
7
Surgical technique for allogeneic uterus transplantation in macaques.猕猴同种异体子宫移植的手术技术。
Sci Rep. 2016 Oct 27;6:35989. doi: 10.1038/srep35989.
8
Other women's wombs: uterus transplants and gestational surrogacy.其他女性的子宫:子宫移植与妊娠代孕。
J Law Biosci. 2016 Mar 21;3(1):68-86. doi: 10.1093/jlb/lsw011. eCollection 2016 Apr.
9
Living Donor Uterus Transplant and Surrogacy: Ethical Analysis According to the Principle of Equipoise.活体供体子宫移植与代孕:基于均衡原则的伦理分析
Am J Transplant. 2017 Apr;17(4):912-916. doi: 10.1111/ajt.14086. Epub 2016 Nov 18.
10
Uterus transplantation in France: for which patients?法国的子宫移植:适用于哪些患者?
Eur J Obstet Gynecol Reprod Biol. 2016 Oct;205:7-10. doi: 10.1016/j.ejogrb.2016.08.027. Epub 2016 Aug 12.