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关于怀孕对移植功能的影响的系统审查
Beatriz Banuelos Marco1, Muhammet Irfan Donmez2, Batuhan Erkul2
1Department of Urology, Renal Transplant Division, University Hospital Clínico San Carlos, 28040 Madrid, Spain.
Journal of clinical medicine
|July 29, 2025
概括
移植脏后怀孕是可行的,但带有风险. 精心管理对于移植接受者的成功结果至关重要,监测母体和移植体的健康.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植免疫学 移植免疫学
- 生殖医学 生殖医学
背景情况:
- 移植 (RT) 是对末期病 (ESRD) 的最佳治疗方法,改善生活质量和生育能力.
- 怀孕后的RT可能会导致诸如子宫前和移植功能障碍等并发症.
- 了解怀孕对长期移植功能和存活的影响至关重要.
研究的目的:
- 系统地审查和评估怀孕对移植结果的影响.
- 评估长期的移植功能和移植后怀孕的移植受体的存活率.
- 确定移植后与怀孕相关的风险和益处.
主要方法:
- 按照PRISMA指南,对英语文学进行系统审查 (2000年1月至2023年9月).
- 纳入标准侧重于移植受体的移植功能和不良事件.
- 数据由两个独立的审查员提取;使用ROBINS-I工具评估偏差风险.
主要成果:
- 26项研究包括902名接受者的1202次怀孕;平均产妇年龄为30.8岁.
- 活产率为70.5%;孕前发生在25.7%;移植功能障碍发生在20.2%.
- 暂时功能下降是常见的,大多数患者在分娩后恢复.
结论:
- 接受移植患者的怀孕在适当的管理下是可行的.
- 有产科并发症和潜在的移植功能障碍的高风险.
- 建议使用标准化数据进行进一步的多中心研究以优化结果.
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