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捐赠者捐赠的结石病:基于病例的分析和比较研究
Maxwell Sandberg1, Mark Xu1, Randall Bissette1
1Department of Urology, Wake Forest Baptist Medical Center, Winston Salem, NC 27101, USA.
The Canadian journal of urology
|January 7, 2026
概括
捐赠者捐赠的结石,或已故捐赠者 (DD) 中的结石,在移植中非常罕见. 这项研究发现了有利的患者和移植结果,这表明即使有已知的石头,移植也是可行的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 捐赠者捐赠病是已故捐赠者 (DD) 移植的罕见并发症.
- 有限的研究存在,缺乏对捐赠脏石头管理的确立指南.
- 这种变化影响了捐赠的选择和接受者护理.
研究的目的:
- 为了确定DD移植接受者的捐赠者捐赠质病的频率.
- 为了分析患者和移植结果,接受者与捐赠者捐赠的结石.
- 评估移植脏与先前存在的结石的安全性和可行性.
主要方法:
- 林浸信会医疗中心 (1979-2025) 的DD移植和术后护理的回顾性审查.
- 在移植期间或移植后两周内发现的捐赠者捐赠的石头的识别.
- 治疗和监测患者之间的石头大小的比较;分析患者和移植结果.
主要成果:
- 在4723名DD移植患者中,有8名 (0.2%) 患有捐赠者捐赠的结石病.
- 平均石块大小为8毫米;38%的患者接受了治疗,62%接受了监测.
- 25%的接受者出现了移植失败,其中一个病例与石头处理有关.
结论:
- 在DD移植中,捐赠者捐赠的结石异常罕见.
- 良好的患者和移植结果支持了以已知的结石移植DD脏的可行性.
- 进一步的研究可能会完善这种罕见疾病的管理策略.
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