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异基因外周血干细胞移植治疗白血病9例临床分析
引用本文:蓝梅,高清平,林金盈. 异基因外周血干细胞移植治疗白血病9例临床分析[J]. 内科, 2011, 6(4): 303-306
作者姓名:蓝梅  高清平  林金盈
作者单位:1. 武汉大学人民医院血液内科,湖北省武汉市,430060;广西壮族自治区人民医院血液内科,南宁市,530021
2. 武汉大学人民医院血液内科,湖北省武汉市,430060
3. 广西壮族自治区人民医院血液内科,南宁市,530021
摘    要:
目的评价异基因外周血干细胞移植(Allo-PBSCT)治疗白血病的疗效及移植相关并发症。方法回顾分析9例白血病患者行同胞供者Allo-PBSCT治疗。预处理方案为改良马利兰加环磷酰胺(Bu/CY);预防移植物抗宿主病(GVHD)采用环孢素A(CSA)加短程甲氨蝶呤(MTX)和霉酚酸酯(MMF)。结果8例患者均获得造血重建,白细胞植活的中位时间为15(13~16)d;1例未植入。出现GVHD7例,肝静脉闭塞病(HVOD)3例,出血性膀胱炎(HC)1例。中位随访时间为13(0~30)个月6例存活,其中5例为无病存活,3例死亡。结论Allo-PBSCT治疗白血病有效,移植相关并发症可接受。

关 键 词:白血病  外周血干细胞移植  异基因  并发症

Allogeneic Peripheral Blood Stem Cell Transplantation for treatment of leukemia in 9 patients
LAN Mei,GAO Qing-ping,LIN Jin-ying. Allogeneic Peripheral Blood Stem Cell Transplantation for treatment of leukemia in 9 patients[J]. Internal Medicine of China, 2011, 6(4): 303-306
Authors:LAN Mei  GAO Qing-ping  LIN Jin-ying
Affiliation:1 Department of Hematology, People's Hospital of Wuhan University, Wuhan 430060, China; 2 Department of Hematology,People's Hospital of GuangXi zhuang Autonomous Region,Nanning 530021, China)
Abstract:
Objective To explore the clinical effects and complications of allogeneic peripheral blood stem cell transplantation on the treatment of Leukemia.Methods The clinical data of 9 patients undergoing allo-PBSCT were analyzed retrospectively.The improved busulfan and cyclophosphamide(Bu/CY) were used as condition pretreatment regimen.Cyclosporine A(CsA) and short-course methotrexate(MTX) and mycophenlate mofetil(MMF) were administered to prevent the graft versus host disease(GVHD).Result 8 patients were engraft...
Keywords:Leukemia  Peripheral blood stem cell transplantation  Allogeneic  Complication  
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