A Successful Pregnancy and Delivery after Liver Transplantation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

严律南 ¹ , 王文涛 ¹ , 李波 ¹ , 卢实春 ¹ , 文天夫 ¹ , 曾勇 ¹ , 赵纪春 ¹ , 杨家印 ¹ , 罗朝志 ² , 罗传兴 ³ , 邓承琪 ⁴

Corresponding author：

Keywords：

肝移植怀孕妊娠排斥反应

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探讨肝移植后育龄妇女的怀孕及分娩对胎儿的影响。方法分析了中国大陆首例肝移植妇女肝移植、免疫抑制剂使用及成功怀孕和分娩的情况。结果本例妇女因硬化性胆管炎，胆汁性肝硬化，肝脓肿，脾大而行同种原位肝移植术，术后2年9月第二次成功怀孕并分娩出发育正常的男婴。结论肝移植后育龄妇女同样可以正常怀孕，但是发生早产和胎儿发育相对迟缓的几率增加；怀孕过程中应该严密地监控母亲的器官功能改变和胎儿的发育情况，并且应合理选择和使用免疫抑制剂。

Citation： 严律南,王文涛,李波,卢实春,文天夫,曾勇,赵纪春,杨家印,罗朝志,罗传兴,邓承琪. A Successful Pregnancy and Delivery after Liver Transplantation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 251-253. doi: Copy

1.	严律南. 近年肝移植的重大进展 [Ｊ]. 中国普外基础与临床杂志， 2003； 10（3）∶196.
2.	严律南，李波，卢实春，等. 提高我国肝移植术后长期存活率的临床研究 [Ｊ]. 中华肝胆外科杂志， 2003； 9（3）∶131.
3.	Walcott WO, Derick DE, Jolley JJ, et al. Successful pregnancy in a liver transplant patient [Ｊ]. Am J Obstet Gynecol, 1978; 132(3)∶340.
4.	Armenti VT, Herrine SK, Radomski JS, et al. Pregnancy after liver transplantation [Ｊ]. Liver Transpl, 2000; 6(6)∶671.
5.	Wu A, Nashan B, Messner U, et al. Outcome of 22 successful pregnancies after liver transplantation [Ｊ]. Clin Transplant, 1998; 12(5)∶454.
6.	Nagy S, Bush MC, Berkowitz R, et al. Pregnancy outcome in liver transplant recipients [Ｊ]. Obstet Gynecol, 2003; 102(1)∶121.
7.	Ville Y, Fernandez H, Samuel D, et al. Pregnancy in liver transplant recipients: course and outcome in 19 cases [Ｊ]. Am J Obstet Gynecol, 1993; 168(3 Pt 1)∶896.
8.	Jain AB, Reyes J, Marcos A, et al. Pregnancy after liver transplantation with tacrolimus immunosuppression: a single center’s experience update at 13 years [Ｊ]. Transplantation, 2003; 76(5)∶827.
9.	Armenti VT, Moritz MJU, Radomski JS, et al. Pregnancy and transplantation [Ｊ]. Graft, 2000; 3（2）∶59.
10.	Jain A, Venkataramanan R, Fung JJ, et al. Pregnancy after liver transplantation under tacrolimus [Ｊ]. Transplantation, 1997; 64(4)∶559.
11.	Radomski JS, Ahlswede BA, Jarrell BE, et al. Outcomes of 500 pregnancies in 335 female kidney, liver, and heart transplant recipients [Ｊ]. Transplant Proc, 1995; 27(1)∶1089.
12.	Carr DB, Larson AM, Schmucker BC, et al. Maternal hemodynamics and pregnancy outcome in women with prior orthotopic liver transplantation [Ｊ]. Liver Transpl, 2000; 6(2)∶213.
13.	Little BB. Immunosuppressant therapy during gestation [Ｊ]. Semin Perinatol, 1997; 21(2)∶143.
14.	Armenti VT, Radomski JS, Moritz MJ, et al. Report from the National Transplantation Pregnancy Registry (NTPR): outcomes of pregnancy after transplantation [Ｊ]. Clin Transpl, 2000; 14∶123.
15.	Casele HL, Laifer SA. Pregnancy after liver transplantation [Ｊ]. Semin Perinatol, 1998; 22(2)∶149.

1. 严律南. 近年肝移植的重大进展 [Ｊ]. 中国普外基础与临床杂志， 2003； 10（3）∶196.
2. 严律南，李波，卢实春，等. 提高我国肝移植术后长期存活率的临床研究 [Ｊ]. 中华肝胆外科杂志， 2003； 9（3）∶131.
3. Walcott WO, Derick DE, Jolley JJ, et al. Successful pregnancy in a liver transplant patient [Ｊ]. Am J Obstet Gynecol, 1978; 132(3)∶340.
4. Armenti VT, Herrine SK, Radomski JS, et al. Pregnancy after liver transplantation [Ｊ]. Liver Transpl, 2000; 6(6)∶671.
5. Wu A, Nashan B, Messner U, et al. Outcome of 22 successful pregnancies after liver transplantation [Ｊ]. Clin Transplant, 1998; 12(5)∶454.
6. Nagy S, Bush MC, Berkowitz R, et al. Pregnancy outcome in liver transplant recipients [Ｊ]. Obstet Gynecol, 2003; 102(1)∶121.
7. Ville Y, Fernandez H, Samuel D, et al. Pregnancy in liver transplant recipients: course and outcome in 19 cases [Ｊ]. Am J Obstet Gynecol, 1993; 168(3 Pt 1)∶896.
8. Jain AB, Reyes J, Marcos A, et al. Pregnancy after liver transplantation with tacrolimus immunosuppression: a single center’s experience update at 13 years [Ｊ]. Transplantation, 2003; 76(5)∶827.
9. Armenti VT, Moritz MJU, Radomski JS, et al. Pregnancy and transplantation [Ｊ]. Graft, 2000; 3（2）∶59.
10. Jain A, Venkataramanan R, Fung JJ, et al. Pregnancy after liver transplantation under tacrolimus [Ｊ]. Transplantation, 1997; 64(4)∶559.
11. Radomski JS, Ahlswede BA, Jarrell BE, et al. Outcomes of 500 pregnancies in 335 female kidney, liver, and heart transplant recipients [Ｊ]. Transplant Proc, 1995; 27(1)∶1089.
12. Carr DB, Larson AM, Schmucker BC, et al. Maternal hemodynamics and pregnancy outcome in women with prior orthotopic liver transplantation [Ｊ]. Liver Transpl, 2000; 6(2)∶213.
13. Little BB. Immunosuppressant therapy during gestation [Ｊ]. Semin Perinatol, 1997; 21(2)∶143.
14. Armenti VT, Radomski JS, Moritz MJ, et al. Report from the National Transplantation Pregnancy Registry (NTPR): outcomes of pregnancy after transplantation [Ｊ]. Clin Transpl, 2000; 14∶123.
15. Casele HL, Laifer SA. Pregnancy after liver transplantation [Ｊ]. Semin Perinatol, 1998; 22(2)∶149.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A Successful Pregnancy and Delivery after Liver Transplantation

Abstract Full text Figures/Tables Video References Cited by

Format

Content