Yang Sijia, Abuduwufuer Abudumailamu, Lv Wang, Bao Feichao, Hu Jian
The First Affiliated Hospital, Collage of Medicine, Zhejiang University, Hangzhou 310003, China.
Zhongguo Fei Ai Za Zhi. 2020 Jun 20;23(6):496-502. doi: 10.3779/j.issn.1009-3419.2020.101.03.
Lung transplantation is the ultimate treatment of end-stage lung disease. After transplantation, the 1-year survival rate is 80%, while the 5-year survival rates remaines at around 50% mainly due to bronchiolitis obliterans syndrome (BOS). BOS is regarded as a fibrosing process in the small airways leading to irreversible airway obstruction. A lot of factors are involved in the development of BOS, such as Ischemia/reperfusion injury, infections, oxidative stress, and acute rejection, etc. Studies have shown that early diagnosis of BOS may improve outcome. It is valuable for the long-term survival of lung transplantation to find out several predictors for the BOS. This article reviews the current state of knowledge on predictors for BOS.
肺移植是终末期肺病的最终治疗手段。移植后,1年生存率为80%,而5年生存率约为50%,主要原因是闭塞性细支气管炎综合征(BOS)。BOS被认为是小气道的纤维化过程,会导致不可逆的气道阻塞。BOS的发生涉及许多因素,如缺血/再灌注损伤、感染、氧化应激和急性排斥反应等。研究表明,BOS的早期诊断可能改善预后。找出BOS的几个预测指标对肺移植的长期生存具有重要价值。本文综述了BOS预测指标的当前知识状态。