肾移植后妊娠成功4例报告。

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-07-01 DOI:10.1016/j.transproceed.2025.06.001

Zhou Yujie, Qiu Tao, Zhou Jiangqiao

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引用次数: 0

摘要

目的：了解妊娠患者肾移植术后母婴结局，分析影响因素，为临床管理提供参考。方法：回顾性分析我院4例妊娠肾移植术后患者的临床资料，包括基本资料、妊娠及分娩情况、免疫抑制剂使用情况、母婴预后等。本文结合文献综述，讨论肾移植后妊娠的相关问题。结果：4例患者均顺利分娩。妊娠期的主要并发症为妊娠期高血压、妊娠期糖尿病和蛋白尿。所有新生儿均为早产儿，在妊娠34至36周时出生体重在1860至2990克之间，出生后健康状况良好。3例患者产后肾功能稳定，1例患者产后蛋白尿增高至“4+”，处于恢复期。结论：在严格的监测和合理的管理下，肾移植术后妊娠可获得良好的母婴结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Successful Pregnancy After Renal Transplantation: A Report of 4 Cases

Objective

To investigate the maternal and neonatal outcomes of pregnant patients after kidney transplantation, analyze the influencing factors, and provide a reference for clinical management.

Methods

The clinical data of 4 pregnant patients after renal transplantation in our hospital were retrospectively analyzed, including basic information, pregnancy and delivery, use of immunosuppressive agents, and maternal and infant prognosis. The related issues of pregnancy after renal transplantation are discussed in combination with a literature review.

Results

All the four patients delivered successfully. The main complications during pregnancy are gestational hypertension, gestational diabetes mellitus, and proteinuria. All the newborns were born preterm with birth weights between 1860 and 2990 g at 34 to 36 weeks of gestation and were in good health after birth. The renal function of 3 patients was stable after delivery, and 1 patient had proteinuria increased to “4+” after delivery and was in the recovery period.

Conclusions

Under strict monitoring and reasonable management, pregnancy after renal transplantation can achieve good maternal and neonatal outcomes.

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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.