子宫移植在临床中的准备问题

A. M. Polstianoy, K. Gubarev, O. Y. Polstianaya, I. Rendashkin
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引用次数: 0

摘要

子宫绝对因素不孕症是女性不孕症的一种不可治疗的原因。代孕已经成为唯一的选择,让这群患者实现遗传母性,尽管是生物学母性。据统计,俄罗斯有3万多名育龄妇女因绝对子宫因素不孕而无法怀孕。最近出现的子宫移植的可能性已经成为治疗这种女性不孕症的唯一方法。在2013年瑞典首次进行人类子宫移植临床研究之前,科学家们已经在动物(啮齿动物、猪、牛和灵长类动物)上进行了系统的研究。2014年9月进行的第一次子宫移植临床试验导致一名活产婴儿。目前,在瑞典、巴西、美国和意大利都有成功的人子宫移植病例的报道。第一例子宫移植临床研究的成功,得益于动物实验的经验和实践。该方法的应用是引进俄罗斯科学的子宫移植技术的基础。在文献回顾的基础上分析子宫移植临床应用中存在的问题。
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Issues of preparation for implementing uterine transplantation in clinical practice
The absolute uterine factor infertility is a non-treatable cause of female infertility. Surrogacy has become the only option that allows this group of patients to achieve genetic, although biological motherhood. According to statistics there are more than 30 thousand women of fertile age in Russia who cannot get pregnant due to the absolute uterine factor infertility. The recently emerged possibility of uterine transplantation has become the only treatment for this kind of female infertility.Prior to the very first clinical study of human uterine transplantation which was carried out in 2013 in Sweden, scientists had conducted systematic studies in animals (rodents, pigs, cattle and primates). The first clinical trial with the uterine transplantation performed resulted in a live birth in September 2014. Currently, cases of successful uterine transplantation in humans have been reported in Sweden, Brazil, USA and Italy. Experience and practice in animal research played a key role in the success of the first clinical study on uterine transplantation. The application of this method is fundamental in the introduction of the scientifically grounded technology of uterine transplantation in Russia.Aim. Analysis of the problems of the clinical application of the uterine transplantation based on a literature review.
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