儿科移植后的生活
Julia Fijo1, Ana Sánchez-Moreno1
1Unidad de Nefrología Pediátrica, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain.
Nefrologia
|November 19, 2023
概括
儿科移植接受者表现出更好的存活率和移植成功率,特别是在活体捐赠者身上. 然而,长期成年人的结果揭示了教育和社会支持方面的挑战,影响了整体生活质量.
科学领域:
- 儿科脏病学 儿科脏病学
- 移植手术 移植手术
- 长期患者的结果
背景情况:
- 移植是儿科末期病的最佳治疗方法,显著改善了生活质量.
- 追踪儿童脏移植成年结果的纵向研究很少,这限制了对长期成就和挑战的理解.
研究的目的:
- 评估儿童脏移植的成年幸存者的长期结果.
- 评估移植和患者存活率,并分析这些人的生活质量,教育程度和社会融合.
主要方法:
- 在1979年至2019年间,对287名患者进行了345次移植的回顾性分析.
- 评估移植和接受者存活率,再移植率和长期生活质量指标.
主要成果:
- 与1979-1996年相比,在1997-2019年期间观察到患者和移植存活率的显著改善.
- 第一个活体捐赠者的移植体显示出高的5年和10年生存率 (94%和89%).
- 在成人幸存者中,32%有伴侣,6.6%有孩子,但教育水平较低,并常见的并发病.
结论:
- 儿科移植接受者经历了增长的预期寿命和移植的存活率,特别是与活体捐赠者.
- 虽然成年移植幸存者普遍感到满意,但报告说他们对社会支持和教育机会的需求尚未得到满足.
- 解决这些差距对于改善童年接受移植的个体的整体生活质量至关重要.
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