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小儿肾移植后方案活检的作用。

The role of protocol biopsies after pediatric kidney transplantation.

作者信息

Kanzelmeyer Nele K, Lerch Christian, Ahlenstiel-Grunow Thurid, Bräsen Jan H, Haffner Dieter, Pape Lars

机构信息

Department of Pediatric Nephrology.

Department of Pathology, Hannover Medical School, Hannover, Germany.

出版信息

Medicine (Baltimore). 2020 Jun 5;99(23):e20522. doi: 10.1097/MD.0000000000020522.

DOI:10.1097/MD.0000000000020522
PMID:32502003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7306334/
Abstract

Data on protocol biopsies (PBs) after pediatric kidney transplantation are rare.We evaluated 6-month post-transplantation renal function in 86 children after PB as observational study. Patients were divided into 3 groups:Glomerular filtration rate (GFR) and delta GFR were determined.PBs 6 months post-kidney transplantation did not influence the clinical course in stable pediatric patients and are therefore of questionable value. Decreased kidney function may however be stabilized by therapeutic intervention according to results of PB.

摘要

小儿肾移植后经 protocol 活检(PB)的数据很少见。作为一项观察性研究,我们评估了 86 例儿童在 PB 后 6 个月的移植肾功能。患者分为 3 组:测定肾小球滤过率(GFR)和 GFR 变化值。肾移植后 6 个月的 PB 对病情稳定的小儿患者的临床病程没有影响,因此其价值存疑。然而,根据 PB 的结果进行治疗干预可能会稳定肾功能下降的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/4a2a3fa5a8b0/medi-99-e20522-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/4a40e880424f/medi-99-e20522-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/60834910d929/medi-99-e20522-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/4a2a3fa5a8b0/medi-99-e20522-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/4a40e880424f/medi-99-e20522-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/60834910d929/medi-99-e20522-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3e/7306334/4a2a3fa5a8b0/medi-99-e20522-g006.jpg

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本文引用的文献

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The Influence of Donor to Recipient Size Matching on Kidney Transplant Outcomes.供体与受体大小匹配对肾移植结果的影响。
Transplant Direct. 2018 Sep 7;4(10):e391. doi: 10.1097/TXD.0000000000000826. eCollection 2018 Oct.
2
Protocol biopsies in pediatric renal transplantation: a precious tool for clinical management.儿童肾移植中的方案活检:临床管理的宝贵工具。
Pediatr Nephrol. 2018 Nov;33(11):2167-2175. doi: 10.1007/s00467-018-4007-2. Epub 2018 Jul 6.
3
Subclinical inflammation phenotypes and long-term outcomes after pediatric kidney transplantation.
肾移植中的排斥标志物:新技术是否对儿童有帮助?
Pediatr Nephrol. 2023 Sep;38(9):2939-2955. doi: 10.1007/s00467-022-05872-z. Epub 2023 Jan 17.
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Pearls and Pitfalls in Pediatric Kidney Transplantation After 5 Decades.五十年后的小儿肾移植:经验与教训
Front Pediatr. 2022 Apr 8;10:856630. doi: 10.3389/fped.2022.856630. eCollection 2022.
儿科肾移植后亚临床炎症表型与长期结局。
Am J Transplant. 2018 Sep;18(9):2189-2199. doi: 10.1111/ajt.14933. Epub 2018 Jun 27.
4
Benefits and risks of protocol biopsies in pediatric renal transplantation.小儿肾移植中协议活检的利弊。
Pediatr Nephrol. 2019 Apr;34(4):593-598. doi: 10.1007/s00467-018-3959-6. Epub 2018 May 3.
5
The utility of surveillance biopsies in pediatric kidney transplantation.儿童肾移植中监测性活检的应用。
Pediatr Nephrol. 2018 May;33(5):889-895. doi: 10.1007/s00467-017-3864-4. Epub 2017 Dec 19.
6
The Banff 2017 Kidney Meeting Report: Revised diagnostic criteria for chronic active T cell-mediated rejection, antibody-mediated rejection, and prospects for integrative endpoints for next-generation clinical trials.Banff 2017 年会肾脏报告:慢性活动性 T 细胞介导排斥反应、抗体介导排斥反应的修订诊断标准,以及下一代临床试验综合终点的前景。
Am J Transplant. 2018 Feb;18(2):293-307. doi: 10.1111/ajt.14625. Epub 2018 Jan 21.
7
Utility of Serial Protocol Biopsies Performed After 1 Year in Predicting Long-Term Kidney Allograft Function According to Histologic Phenotype.根据组织学表型,1年后进行的系列协议活检在预测长期肾移植功能方面的效用。
Exp Clin Transplant. 2018 Aug;16(4):391-400. doi: 10.6002/ect.2016.0323. Epub 2017 Dec 5.
8
Utility of protocol kidney biopsies for de novo donor-specific antibodies.协议性肾活检对新供体特异性抗体的作用。
Am J Transplant. 2017 Dec;17(12):3210-3218. doi: 10.1111/ajt.14466. Epub 2017 Sep 26.
9
Early protocol biopsies in pediatric renal transplantation: interest for the adaptation of immunosuppression.小儿肾移植中的早期方案活检:对免疫抑制调整的意义
Pediatr Transplant. 2014 Mar;18(2):142-9. doi: 10.1111/petr.12197. Epub 2013 Dec 16.
10
Do protocol transplant biopsies improve kidney transplant outcomes?移植方案活检是否能改善肾移植的效果?
Curr Opin Nephrol Hypertens. 2012 Nov;21(6):580-6. doi: 10.1097/MNH.0b013e32835903f4.