目的分析自体纯化CD34+细胞移植治疗中/高危淋巴细胞来源恶性肿瘤的临床疗效。方法 10名中/高危组淋巴细胞来源恶性肿瘤患者行自体纯化CD34+细胞移植治疗,细胞分选采用cliniMACS系统。计算并统计分选纯度和CD34+细胞回收率,观察移植相关并发症及患者生存情况。结果纯化后CD34+细胞纯度为(87.79±3.73)%,回收率达到(65.74±10.37)%。10名患者全部顺利造血重建,感染发生率50%(5/10例),复发率为20%(2/10例)。结论利用CliniMACS系统进行外周血CD34+细胞分选,CD34+细胞纯度、回收率均满意,自体移植后造血功能重建顺利,近期疗效满意。
Objective To study the effectiveness of CD34+ selected autologous peripheral blood stem cell transplantation(APBSCT) in medium/high risk lymphocytic malignancies.Methods 10 patients received autologous CD34+ selected APBSCT,purified by CliniMACS device.The sorting purity and recovery of CD34+ cells were calculated.Transplant-related complications and prognosis were observed.Results After selection,the mean recovery of CD34+ cells was(65.74±10.37)% and the mean purity was(87.79±3.73)%.All 10 patients achieved hematopoietic recovery successfully.The rates of infectiou and relapse were 50%(5/10),and 20%(2/10),respectively.Conclusion Peripheral blood CD34+ selection and purification using CliniMACS system are effective with satisfactory purity and recovery.Hemopoietic recovery can be achieved with good short term effectiveness.