肾移植后妊娠相关研究进展

发布时间：2019-03-04 14:51

【摘要】：对于患有终末期肾病的育龄期女性,肾移植是恢复其生育功能的有效治疗手段之一。但由于免疫抑制剂的使用等特殊情况,有一系列妇产科相关问题亟需解答,如妊娠时机的把握、避孕方式的选择、妊娠对移植肾的影响、免疫抑制剂对胎儿的影响及剂量调整问题、辅助生育技术的应用问题、产科并发症的发生及新生儿结局的影响等。随着越来越多的肾移植后妊娠及良好产科结局报道,肾移植后妊娠需求不断增加,前景较为明朗。现对肾移植后妊娠相关问题作一综述。
[Abstract]:For women of childbearing age with end-stage kidney disease, renal transplantation is one of the effective methods to restore reproductive function. However, due to the use of immunosuppressive agents and other special circumstances, there are a series of obstetrics and gynaecology-related problems that need to be answered, such as the timing of pregnancy, the choice of contraceptive methods, the impact of pregnancy on kidney transplantation, The effects of immunosuppressive agents on fetuses and dose adjustment, the application of assisted fertility techniques, the occurrence of obstetric complications and the effects of neonatal outcomes, etc. With more and more reports of pregnancy after renal transplantation and good obstetrical outcome, the demand for pregnancy after renal transplantation is increasing and the prospect is clearer. This article reviews the pregnancy-related problems after renal transplantation.
【作者单位】：浙江大学医学院附属妇产科医院;
【分类号】：R714.2;R699.2

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