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我院于1992年开始应用多聚酶链反应(PCR)技术,对同种异体肾脏移植的供受者HLA-Ⅱ类抗原进行基因分型。通过40例患者基因分型结果表明:肾移植患者供受者有1~2个HLADQA等位基因相符者,移植肾1年存活率100%;完全不相符者,1年存活率33%,两者有非常显著性差异(P<0.005)。采用此方法对器官移植供受者进行基因分型,可大大提高供受者间组织相容性相符程度,减少或减轻排斥反应的发生,以期提高移植物的存活质量,获得更好的临床效果。
Our hospital began in 1992 by polymerase chain reaction (PCR) technology, allogeneic renal transplant recipients of HLA-Ⅱ antigen genotyping. According to the results of genotyping in 40 patients, 1 to 2 HLADQA alleles were matched for donor recipients and 1-year survival rate for transplant recipients was 100%. Completely unqualified patients showed a 1-year survival rate of 33% There was a very significant difference (P <0.005). Using this method to genotype the donor for organ transplantation can greatly improve the consistency of donor-recipient histocompatibility and reduce or reduce the incidence of rejection in order to improve the graft survival and obtain better clinical results .