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糖尿病足的自体干细胞移植治疗

Transplatation of autologous stem cell for the treatment of diabetic foot

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【作者】 秦玲万鼎铭董义光秦贵军李清楚郑丽陈灵芝黄爱凡

【Author】 QIN Ling1, WAN Ding-ming1, DONG Yi-guang2, QIN Gui-jun2, LI Qing-chu3, ZHENG Li2, XCHEN Ling-zhi2, HUANG Ai-fan3(1.Department of Hemotology,the first Affiliated Hospital of Zhengzhou University,Zhengzhou,450052, China;2.Department of Endocrinotherapy,the first Affiliated Hospital of Zhengzhou University,Zhengzhou,450052,China;3.Depar Tment of Endocrinotherapy,the Center Hospital of Zhengzhou,Zhengzhou,450000,China)

【机构】 郑州大学第一附属医院血液科郑州大学第一附属医院内分泌科郑州市中心医院内分泌科郑州市中心医院内分泌科 河南郑州450052河南郑州450052河南郑州450000河南郑州450000

【摘要】 目的:观察自体干细胞移植治疗糠尿病足的可行性及安全性。方法:分别采集患者自体骨髓250~300ml或外周单个核细胞混悬液150ml,Ficoll分离液进一步分离,配制成单个核细胞混悬液,流式细胞仪计数CD+34细胞数,行下肢缺血部位多点肌肉注射进行移植,观察至少12周,进行临床评估。结果:自体干细胞移植后,患者下肢疼痛、冷感、间歇性跛行、皮肤温度、踝肱指数(ABI)及数字减影血管造影(DSA)治疗前后均有显著性差异。移植过程无不良反应发生。结论:采用自体干细胞移植治疗糖尿病足是可行的、安全的。

【Abstract】 Objective: To observe the efficacy and safety of autologous stem cell transplantation in treatment of diabetic lower limb ischemia.Methods: To collect(250~300) ml autoogous bone marrow or peripherial blood mononuclear cell from each diabetic,then separate mononuclear cells by Ficoll separation medium and prepare for mononuclear cell suspension with counting the CD34+ cells by Flow Cytomerty,multi-inject lower limb in muscle,and monitor the clinical and laboratory findings for at least 12 weeks.Results: After transplantation,there are significant improvement in lower limb pain,cool feeling,intermittent limp,skin temperature and digital subtraction arteriography without adverse reaction.Conclusion: It is safe and effective in the treatment of diabetic lower limb ischemia by autologous stem cell transplantation.

【关键词】 骨髓干细胞移植自体糖尿病足
【Key words】 bone narrowstem celltransplantationautologousdiabetic foot
  • 【文献出处】 河南医学研究 ,Henan Medical Research , 编辑部邮箱 ,2005年02期
  • 【分类号】R587.2
  • 【被引频次】9
  • 【下载频次】186
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