打印 无透析肾移植 无透析肾移植 医学博士 Mikel Prieto 讨论无透析肾移植。 开始您的供体评估 单击此处填写病史问卷，开始活体肾脏或肝脏供体评估。 无透析肾移植是指在肾功能恶化到需要透析以代替正常的肾过滤功能之前接受肾移植。 目前，大多数肾移植都在透析患者身上进行，因为他们的肾脏无法继续充分清除血液中的杂质。 无透析肾移植被视为治疗终末期肾病的首选方法，但在美国进行的肾移植手术中仅有约 20% 为无透析肾移植。 以下因素与无透析肾移植率低于预期有关，比如： 供体肾脏短缺 缺乏接触移植中心的途径 在社会经济地位较低的候选人中，医生转介手术的比例较低 医生对现行指南缺乏认识 目的终末期肾病患者在透析前进行无透析肾移植的好处包括： 降低对捐赠肾脏出现排斥的风险 提高生存率 提高生活质量 降低治疗成本 避免接受透析及其相关的饮食限制和并发症 无透析肾移植的好处对于患有终末期肾病的儿童和青少年尤为重要。 无透析肾移植的风险包括早期暴露于手术的相关风险，并可能消耗原生肾功能。 可能出现的情况如果医生建议无透析肾移植，则您将被转诊到移植中心进行评估。您也可以自由选择移植中心或从您的保险公司首选医疗服务提供者列表中选择一家中心。 在移植中心，您的移植团队将进行几项测试，以确定无透析肾移植是否适合您。您的团队将考虑多项因素，包括： 肾功能水平 整体健康状况 任何可能影响移植成功的慢性医疗状况 供体肾脏的可用性 在您的余生中遵循医疗指示并服用抗排斥药的能力 如果您已获准进行无透析肾移植并且有活体供肾，则医生将安排活体移植手术。如果没有可用的活体供肾，您会被列入已故供体肾脏移植等待清单。 来自妙佑医疗国际员工 申请预约 March 28, 2024 打印 显示参考文献 Jay CL, et al. Reassessing preemptive kidney transplantation in the United States: Are we making progress? Transplantation. 2016;100:1120. Grams ME, et al. Trends in the timing of pre-emptive kidney transplantation. Journal of the American Society of Nephrology. 2011;22:1615. OPTN Minority Affairs Committee. Education guidance on patient referral to kidney transplantation. Organ Procurement and Transplantation Network. https://optn.transplant.hrsa.gov/resources/guidance/educational-guidance-on-patient-referral-to-kidney-transplantation/. Accessed Jan. 20, 2020. Rees L, et al. Overview of renal replacement therapy (RRT) for children with chronic kidney disease. http://www.uptodate.com/home. Accessed March 15, 2016. Brennan DC, et al. Dialysis issues prior to and after kidney transplantation. https://www.uptodate.com/contents/search. Accessed Jan. 20, 2020. 相关 Infographic: Paired Donation Chain Infographic: Pancreas Kidney Transplant 他是我见过的最勇敢的孩子 多囊性肾病 姐姐给弟弟的肾脏 慢性肾病 我患有 IgA 肾病。我需要肾脏移植吗？ 硬皮病 移植朋友 肉芽肿性多血管炎 肾小球肾炎 肾源性系统性纤维化 肾移植 肾移植 肾脏捐赠：是否存在长期风险？ 肾脏疾病常见问题解答 视频：肾脏移植 过敏体质患者的器官移植 降低器官移植的排异反应 显示更多相关内容 相关医疗程序 活体移植 Mayo Clinic 新闻 Inspired by her mother, career, transplant nurse altruistically becomes organ donor April 23, 2024, 04:36 p.m. CDT Mayo Clinic Minute: Reasons to be a living kidney donor April 15, 2024, 04:00 p.m. CDT Organ donation: Don't let these myths confuse you April 07, 2024, 11:00 a.m. CDT Mayo Clinic Minute: What is a living donor chain? April 03, 2024, 04:00 p.m. CDT Could CAR-T cell therapy improve kidney transplants? 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