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脐血混合移植的基础和临床研究
引用本文:沈柏均,侯怀水,张洪泉,严志,隋星卫,刘晓艳,丁欣荣,马秀峰. 脐血混合移植的基础和临床研究[J]. 现代妇产科进展, 1994, 0(2)
作者姓名:沈柏均  侯怀水  张洪泉  严志  隋星卫  刘晓艳  丁欣荣  马秀峰
作者单位:山东医科大学附属医院
摘    要:
用单层琼脂法进行单一和混合脐血粒-单造血祖细胞(CFU-GM)培养,结果发现不同脐血单个核细胞(MNC)间可能互为造血细胞集落刺激活性,混合培养CFU一GM产率明显高于单独培养之和的均值(P<0.05)。长期深低温保存可累积脐血造血祖细胞数量,且可降低T4淋巴细胞的抗原表达,有利减轻移植排斥。在实验基础上,对2例晚期盆腔肿瘤患儿进行了强力化疗和混合脐血移植术,病情均于一个月内完全缓解,骨髓造血重建,为造血组织移植开拓了新的供源,可能使更多的不治之症患者获得治疗的机会。

关 键 词:脐血移植,造血祖细胞,冷冻

Basic and clinical research on multicord blood transplantation
. Shen Baijun, Hou Huaishui, Zhang Hongquan, et al. Basic and clinical research on multicord blood transplantation[J]. Current Advances In Obstetrics and Gynecology, 1994, 0(2)
Authors:. Shen Baijun   Hou Huaishui   Zhang Hongquan   et al
Abstract:
The purpose of this study was to evaluate the possibility of multicord blood transplantation. Our in vitro study showed that CFU-GM colonies in mixculture were higher than the average value of that in single cultures implying without rejection between different cord blood MNCs. On the other hand,our results revealed that long term cryopreservation could reduce the antigen markers of OKT4 cells which was generally considered to be related to GVHD. It therefore seeilis reasonable to assume that multi-cord blood transfusion would not present serious problems. Thus two patients with advanced pelvic carcinoma were treated by intensive chemotherapy with HLA mismatched multi-cord blood transplantation. The hemopoiesis of bone marrow was reconstituted and the patients were roached in complete remission within 1 month following treatment. Our preliminary results were encouraging.
Keywords:Cord blood transplantation  Hemopoietic stem cell  Cryopreservation  Carcinoma  
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