臨牀透析 Vol.29 No.9(1)


特集名 透析スタッフに必要な腎移植医療の知識2013
題名 最近の腎移植の現状
発刊年月 2013年 08月
著者 八木澤 隆 自治医科大学腎泌尿器外科学講座(腎臓外科学部門)
【 要旨 】 新しい免疫抑制薬の臨床応用や合併症に対する治療法の進歩によって腎移植の成績は向上し,わが国においても症例数は増加しつつある,2010年には年間1,484例,2011年は1,601例,2012年には1,605例の腎移植が施行されている.実施例の85~90%は生体腎移植であり,献腎移植は年間200例程度を推移している.移植の適応は拡大され,ABO血液型不適合移植,夫婦間移植,先行的移植の割合は増え,また60歳以上の高齢者の移植例も増えている.長期成績のいっそうの向上と献腎移植の推進が課題である.
Theme Necessary kidney transplant knowledge for the dialysis staff, 2013
Title Current status of kidney transplantation in Japan
Author Takashi Yagisawa Division of Renal Surgery and Transplantation, Department of Urology, Jichi Medical University
[ Summary ] The outcome of kidney transplantation procedures has recently improved due to the introduction of new immunosuppressive drugs and the development of complication management techniques. The number of kidney transplants has increased, accompanied by high success rates. A total of 1,605 transplants including 1,412 from living donors and 193 from deceased donors were performed in 2012 in Japan. The indications for transplantation have also expanded in terms of ABO incompatibility, spouse donors, preemptive transplants, original diseases, such as diabetes or SLE, as well as elderly patients. An increase in the number of deceased kidney donors is now essential for kidney transplantation in Japan.
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