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异基因外周血造血干细胞移植治疗慢性髓细胞白血病的临床研究

宋献民 王健民 居小萍 章卫平 童书鹏 陈莉 侯军 翟勇平 闵碧荷 张洁

解放军医学杂志2001,Vol.26Issue(4):295-297,3.
解放军医学杂志2001,Vol.26Issue(4):295-297,3.

异基因外周血造血干细胞移植治疗慢性髓细胞白血病的临床研究

ALLOGENEIC PERIPHERAL BLOOD STEM CELL TRANSPLANTATION(PBSCT) FOR CHRONIC MYELOGENOUS LEUKEMIA

宋献民 1王健民 1居小萍 1章卫平 1童书鹏 1陈莉 1侯军 1翟勇平 1闵碧荷 1张洁1

作者信息

  • 1. 第二军医大学长海医院
  • 折叠

摘要

Abstract

To observe the efficacy of allo-PBSCT in chronic myelogenous leukemia(CML), twelve patients with chronic phase CML were treated with allo-PBSCT. The median age was 32.5 years. Donors received G-CSF 5μg/(kg*d) for 5 days. A median mononuclear cell of 5.0×108/kg recipient weight [range (2.4~9.57)×108/kg], including a median CD34+ cell of 5.82×106/kg [range (0.72~66.30)×106/kg] , was collected. Conditioning regimens for nine patients and three patients were TBI+CTX+VP16 and TBI + CTX respectively. The extra radiation of spleen was given to three patients with splenomegaly. All patients were engrafted and hematopoietic reconstitution was rapid, with neutrophils recovering to over 0.5×109/L on day 14.5(range 14~23)and platelets >20×109/L on day 16 (range 9~35).Over grade Ⅱ acute GVHD occurred in three patients(25%) and chronic GVHD occurred in five patients, including three patients with localized chronic GVHD and two with extensive chronic GVHD . The incidence of acute GVHD in allo-PBSCT is similar to allo-BMT, while care should be taken for the occurrence of chronic GVHD.

关键词

慢性髓细胞白血病/造血干细胞移植

分类

医药卫生

引用本文复制引用

宋献民,王健民,居小萍,章卫平,童书鹏,陈莉,侯军,翟勇平,闵碧荷,张洁..异基因外周血造血干细胞移植治疗慢性髓细胞白血病的临床研究[J].解放军医学杂志,2001,26(4):295-297,3.

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