第二次腎臟移植的近況與發展
Long-Term Outcome on Second Kidney Transplantations

作者:張登翔(Teng-Hsiang Chang)；張家築(Chia-Chu Chang)；邱炳芳(Pin-Fang Chiou)

摘要
腎臟移植是末期腎臟病病患目前已知最好的腎臟替代治療，成功的腎臟移植可以帶給病患更好的存活率跟生活品質。近年因醫學的進步所以短期存活率有大幅度的提升，但長期存活率進步仍有限，根據國外研究顯示，一個屍體捐贈的腎臟可以使用8.8年，而活體捐贈可以使用12年，所以接受腎臟移植的患者將來很有可會遇到移植腎失敗，重新登入等待換腎名單。此篇文章主要就第一次腎臟移植失敗後的處置做討論，跟研究第二次腎臟移植的預後跟危險因子。
Renal transplantation is an optimal treatment for patients with end-stage renal disease (ESRD). In general， a successful primary (i.e.， first) kidney transplantation (KT) provides substantially longer survival and better quality of life than dialysis with similar characteristics. Despite short-term graft survival has improved in the past decade， long-term graft survival is still limited. The average survival of a KT is 8.8 years for deceased and 12 years for living donor transplants. Therefore， we are seeing an increasing number of patients being relisted for a second KT worldwide as most KT patients will eventually face graft failure. The aim of this study was to discuss the management of the graft loss patient， and long-term outcomes of second kidney transplantations and risk factors predictive of second KT outcome.

出處:腎臟與透析；30卷1期(2018 / 03 / 01)，P6 - 9