赖永榕, 蔡正文, 马劼, 罗琳, 杨杰, 周吉成, 彭志刚, 罗军. 异基因外周血干细胞移植治疗慢性髓系白血病17例[J]. 中国肿瘤临床, 2006, 33(9): 491-493.
引用本文: 赖永榕, 蔡正文, 马劼, 罗琳, 杨杰, 周吉成, 彭志刚, 罗军. 异基因外周血干细胞移植治疗慢性髓系白血病17例[J]. 中国肿瘤临床, 2006, 33(9): 491-493.
Lai Yongrong, Cai Zhengwen, Ma Jie, Luo Lin, Yang Jie, Zhou Jicheng, Peng Zhigang, Luo Jun. Allogeneic Peripheral Blood Stem Cell Transplantation for Chronic Myeloid Leukemia: a Report of 17 Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(9): 491-493.
Citation: Lai Yongrong, Cai Zhengwen, Ma Jie, Luo Lin, Yang Jie, Zhou Jicheng, Peng Zhigang, Luo Jun. Allogeneic Peripheral Blood Stem Cell Transplantation for Chronic Myeloid Leukemia: a Report of 17 Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(9): 491-493.

异基因外周血干细胞移植治疗慢性髓系白血病17例

Allogeneic Peripheral Blood Stem Cell Transplantation for Chronic Myeloid Leukemia: a Report of 17 Cases

  • 摘要: 目的 :探讨异基因外周血干细胞移植治疗慢性髓系白血病(CML)的临床疗效及移植并发症的情况。 方法 :对17例CML患者进行异基因外周血干细胞移植,其中慢性期15例,加速期、急变期各1例。供者均为同胞兄妹,16例为HLA全相合,1例为2个位点不合。预处理方案采用BU/CY方案,应用CsA、MMF和短程MTX预防GVHD。 结果 :全部患者造血功能均获得快速重建,中性粒细胞绝对值≥0.5×109/L的平均时间为移植后+11(+9~+13)天,血小板≥20×109/L的平均时间为移植后+16(+14~+21)天。16例HLA全相合移植中发生急性Ⅰ度GVHD1例(6.25%),慢性GVHD4例(25.00%);1例HLA2个位点不合移植患者发生急性Ⅱ度GVHD。中位随访时间19个月(2~43个月),15例CP期患者均无病生存,2例AP期及BP期患者分别于移植后9个月及6个月死亡。 结论 :Allo-PBSCT是治疗CML的有效方法,CsA/MMF/MTX三联方案可以有效地预防急性GVHD。

     

    Abstract: Objective : To explore the incidence of complicatiom transplantation and the efficacy ofallogeneic peripheral blood stem cell transplantation (Allo-PBSCT) for chronic myeloid leukemia(CML). Methods : Seventeen CML patients, including 15 in chronic phase, 1 in accelerate phase and 1with blast crisis, were treated with Allo-PBSCT from HLA-identical (16 cases) and 2-locus mismatched(1 case) siblings. The BU/CY was used as conditioning regimen. Cyclosporine A (CsA), mycophenolatemofetil (MMF) and short ourse methotrexate (MTX) were administered to prevent GVHD. Results : Allpatients were successfully engrafted. The medium time of neutrophil count ≥0.5×109/L was 11 days(range 9~13) and platelet count≥20×109/L was 16 days(range 14~21). Acute GVHD occurred in 1 pa-tient (6.25%) and chronic GVHD occurred in 4 patients (25%)for HLA-identical siblings transplanta-tion, one case with 2-locus mismatched siblings transplantation occurred acute GVHD. Fifteen patientswere still alive in complete remission with a median follow-up of 19 (2~43) months and 2 died. Con-Clusion : Allo-PBSCT is a safe and effective therapy for CML and the CsA/MMF/MTX regimen for pre-vention of acute GVHD is effective.

     

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