肝移植后怀孕结果和并发症:伊朗一项长达17年的观察性研究
Alireza Shamsaeefar1, Mohammad Eslamian2, Mehran Rashidi2
1Shiraz Transplant Center, Abu Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
概括
肝移植后怀孕是可行的,活产率高. 仔细监测对于管理这些患者的并发症,如早产和移植排斥是必不可少的.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 移植医学 移植医学
- 产科 产科 产科 产科 产科
背景情况:
- 肝移植为肝硬化患者提供了生存和母亲的机会.
- 移植后怀孕带有并发症和移植排斥的风险.
研究的目的:
- 描述17年来在伊朗进行肝移植后怀孕的经验.
- 分析母亲和新生儿的结果和并发症.
主要方法:
- 对女性肝移植接受者怀孕移植后 (2002-2019) 的回顾性观察性研究.
- 收集了有关患者特征,孕产妇/新生儿预后和并发症的数据.
- 通过位病理核心针活检评估的移植拒绝.
主要成果:
- 从39名患者中记录了59例单独怀孕.
- 高活产率 (76.9%的怀孕,92.3%的患者).
- 并发症包括早产前膜破裂 (13%),孕期糖尿病 (7%),预子症 (3%) 和移植拒绝 (8%).
结论:
- 肝移植后的怀孕是可以实现的.
- 持续的监测和多学科合作对于最佳的患者护理至关重要.
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