ПОВТОРНАЯ ТРАНСПЛАНТАЦИЯ ПОЧКИ
https://doi.org/10.15825/1995-1191-2016-4-157-169
Аннотация
В настоящее время для большинства пациентов с терминальной почечной недостаточностью пересадка почки является наилучшим методом заместительной почечной терапии (ЗПТ), который значительно увеличивает продолжительность и качество жизни. Прогресс в области органного донорства, хирургической техники, трансплантационной иммунологии и иммуносупрессии существенно улучшил непосредственные результаты трансплантаций. При этом отдаленная выживаемость трансплантатов в течение последних двух десятилетий практически не изменилась. Несоответствие между показателями отдаленной выживаемости реципиентов и трансплантатов привело к увеличению количества пациентов, утративших функцию пересаженной почки. Для большинства из них повторная трансплантация представляется оптимальным вариантом продолжения ЗПТ, хотя и сопряжена c большей частотой осложнений. При этом рекомендации по проведению ретрансплантации почки, основанные на принципах доказательной медицины, до сих пор отсутствуют. Настоящий обзор основан на материале 100 научных публикаций, посвященных различным аспектам планирования и выполнения ретрансплантации почки.
Об авторе
А. И. Сушков
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Россия
Адрес: 123182, Москва, ул. Щукинская, д. 1. Тел. (916) 177-89-24
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Рецензия
Для цитирования:
Сушков А.И. ПОВТОРНАЯ ТРАНСПЛАНТАЦИЯ ПОЧКИ. Вестник трансплантологии и искусственных органов. 2016;18(4):157-169. https://doi.org/10.15825/1995-1191-2016-4-157-169
For citation:
Sushkov A.I. REPEAT KIDNEY TRANSPLANTATION. Russian Journal of Transplantology and Artificial Organs. 2016;18(4):157-169. (In Russ.) https://doi.org/10.15825/1995-1191-2016-4-157-169
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