造血干细胞移植用于治疗淋巴系统恶性血液病

本研究探讨造血干细胞移植（HSCT）对恶性淋巴系统血液痛的疗效。通过8例非霍奇金淋巴瘤（NHL）及3例淋巴细胞白血病患者在前期化疗基础上进行造血干细胞移植，分别观察造血重建、并发症及生存期等指标，以了解造血干细胞移植对该类疾病的疗效。结果表明：HSCT后11例患者（其中自体移植7例，异基因移植4例）造血顺利恢复，均能达到完全缓解（CR）。随访3年，5例NHL患者无病生存，1例NHL患者于移植后2个月死亡．1例自杀；4例接受异基因造血干细胞移植的患者中，1例非霍奇金淋巴瘤（NK细胞型）移植后79天死亡，1例慢性淋巴细胞白血病患者无病生存，2例急性淋巴细胞白血病患者分剐于移植后第54天、第17个月死亡。结论：造血干细胞移植是治疗恶性淋巴系统血液疾病的一个有效手段，但自体HSCT的患者尚有一定的复发率，而异基因HSCT患者有可能因严重的移植相关并发症而死亡。

Effect of Hematopoietic Stem Cell Transplantation in Malignant Hematologic Disease of Lymphatic System

The study was aimed to investigate the effect of hematopoietic stem cells transplantation (HSCT) in treatment for hematologic malignancies of lymphatic system. Through observing 8 patients with non-Hodgkin's lymphoma (NHL) and 3 patients with lymphoblastic leukemia, who received auto or allo-HSCT after chemotherapy, the hematopoietic reconstitution, complication and survival time were evaluated. The results showed that 11 patients (7 patients after auto-PBSCT, 4 patients after allo-PBSCT) all achieved hematopoietic reconstitution and complete remission (CR). Within three years following-up, 5 patients with NHL were survival, but one case of NHL died at the 2 months after auto-PBSCT, one patient suicided. From 4 cases received allo-PBSCT, one patient with NHL (NK cell) was died at 79 days later, one patient with chronic lymphoblastic leukemia was surviving, another 2 cases of acute lymphoblastic leukemia were dead at 17 months and 54 days respectively after allo-PBSCT. In conclusion HSCT is an effective treatment for hematologic malignancies of lymphatic system, but the replase would occur in some patients received auto-PBSCT. The others by allo-PBSCT might die of severe complication of transplantation.