我国肝移植领域应重视临床基础研究

随着更新型的免疫抑制剂的相继问世、手术和监护等技术的全面提高,肝移植成为治疗终末期肝病常规而有效的方法.我国临床肝移植的发展的特点为:乙型肝炎相关终末期肝病是最重要的适应证、超Milan标准的进展期肝癌占肝癌肝移植病例的多数、供体来源的不确定性.鉴于此,作者提出我国肝脏移植应在有效防治乙型肝炎病毒再感染、有效控制肝癌肝移植后肿瘤复发、边缘供体使用和器官功能保护、肝移植的免疫学、合并特殊感染疾病的肝移植等方面应更注重临床基础研究.

Liver tansplantation in our country should emphasize basic clinical research

Liver transplantation has become an effective and routine treatment for end-stage liver diseases with the employing of new immunosuppressants and surgical techniques. The characteristics of our country's liver transplantation are as follows: the indication for liver transplantation consists mainly of HBV related end-stage liver diseases, patients with liver cancer beyond Milan criteria account for a high rate, and donor origin is not definite. The author thinks that liver transplantation in our country should emphasize basic clinical research, such as prevention of HBV reinfection and tumor relapse after liver transplantation, employing of marginal donor, organ function protection, immunology of liver transplantation, and specific infection around liver transplantation.