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來自老年捐贈者的腎臟移植預(yù)后良好

【?2006-03-03 發(fā)布?】 美迪醫(yī)訊
美迪網(wǎng)領(lǐng)先的醫(yī)療器械電子商務(wù)平臺

 
根據(jù)一項(xiàng)最新研究發(fā)現(xiàn),如果能夠在移植之前進(jìn)行評估,超過60歲的老年供體腎臟的預(yù)后良好。

研究人員比較了62例患者的預(yù)后,將事先進(jìn)行組織學(xué)評估的來自老年捐贈者的腎臟與相匹配的來自老年或者較年輕的248例捐贈者進(jìn)行了比較。所有接受移植的患者都超過了50歲。腎臟進(jìn)行了組織學(xué)評估,評分分為0-12。0-3分的腎臟用于單側(cè)移植,4-6分的用于雙側(cè)移植,7分以上的予以丟棄。

研究人員得出結(jié)論,接受超過60歲捐贈者的單側(cè)或者雙側(cè)腎臟移植長期生存率十分理想,只要移植物在移植之前接受過組織學(xué)評估。這種方法能夠幫助擴(kuò)大腎臟移植的器官捐贈范圍。

Kidney Transplants Okay From Older Donors
 
Kidney transplants from donors older than 60 years of age can have a good outcome, providing the grafts are evaluated prior to implantation, according to a new study.

Researchers compared the outcomes of 62 patients given histologically evaluated kidneys from older donors with those of 248 matched recipients given non-evaluated kidneys from either older or younger donors. All of the recipients were older than 50 years of age.
The kidneys were histologically evaluated and scored for a global rating of 0-12. Kidneys with a score of zero to three were used in single transplants, those scoring four to six were earmarked for dual transplants, and those rated seven or worse were discarded.


The researchers concluded that the long-term survival of single or dual kidney grafts from donors older than 60 years of age is excellent, provided that the grafts are evaluated histologically before implantation. This approach could help to expand the donor-organ pool for kidney transplantation.

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