Современные взгляды на проблему удаления почечного трансплантата

Современные взгляды на проблему удаления почечного трансплантата

Автор: Лубенников А.Е., Трушкин Р.Н., Артюхина Л.Ю.

Журнал: Московский хирургический журнал @mossj

Рубрика: Обзоры литературы

Статья в выпуске: 4 (38), 2014 года.

Бесплатный доступ

Увеличение темпов трансплантации почки неизбежно влечет за собой рост количества реципиентов с нефункционирующим трансплантатом, которым возобновляется гемодиализ (ГД). У данной категории больных высокие показатели смертности и заболеваемости. Считается, что транс- плантатэктомия (ТЭ) показана либо в раннем периоде после пересадки, либо при наличии симптомов отторжения или пиелонефрита в поздние сро­ки. Мы провели обзор мировой литературы с целью найти ответы на следующие вопросы: влияет ли ТЭ на показатели смертности и заболеваемости, а также на результат ретрансплантации; насколько целесообразно продолжение иммуносупрессивной терапии при оставлении почки на месте; что делать с нефункционирующим трансплантатом при отсутствии симптомов; каковы показания, эффективность и безопасность эмболизации по­чечного трансплантата?

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Трансплантатэктомия, хроническое отторжение трансплантата, иммуносупрессия, выживаемость пациентов, тест-антигеновые антитела, ретрансплантация, эмболизация нефункционирующего трансплантата

Короткий адрес: https://sciup.org/142211174

IDR: 142211174

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