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以全身照射为主的预处理方案治疗T细胞淋巴瘤的效果

Outcomes of preconditioning regimen with total body irradiation in treating T-cell lymphoma

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【作者】 董伟民曹祥山王彪凌云华晓莹

【Author】 DONG Weimin,CAO Xiangshan,WANG Biao,et al.Department of Hematology,First People′s Hospital of Changzhou,Changzhou 213003,CHINA

【机构】 常州市第一人民医院血液病科

【摘要】 目的探讨以全身照射(TBI)为主的预处理方案治疗T细胞淋巴瘤患者的疗效。方法回顾性分析行自体造血干细胞移植(AHSCT)的T细胞淋巴瘤患者12例资料。随访TBI+CY预处理方案移植后的造血重建情况、移植并发症和生存情况。结果所有患者移植后造血功能均顺利重建,中性粒细胞数≥0.5×109/L的时间为移植后10-15d,血小板数≥20×109/L的时间为移植后11-16d。随访时间为8-60个月,复发率25%(3/12),病死率16.7%(2/12),2年的无病生存率75%(9/12)。结论以TBI为主治疗T细胞淋巴瘤的预处理方案是安全、有效的。

【Abstract】 Objective To investigate the clinical efficacy and safety of total body irradiation(TBI)-predominant preconditioning regimen in patients with T-cell lymphoma.Methods Data of 12 patients with T-cell lymphoma were retrospectively analyzed,who underwent TBI-predominant preconditioning regimen after autologous hematopoietic stem cell transplantation(AHSCT).The hematopoietic reconstitution,complications and survival were followed up.Results The hematopoietic reconstitution was successful.The time for ANC ≥0.5×109/L was 10-15 days and the time for platelet counts ≥20×109/L was 11-16 days after successful hematopoietic reconstitution.The patients were followed-up for 8-60 months with the recurrence rate of 25%(3/12),mortality rate of 16.7%(2/12),and 2-year disease-free survival rate of 75%(9/12).Conclusion The TBI-predominant preconditioning regimen is effective and safe in the treatment of T-cell lymphoma.

  • 【文献出处】 江苏医药 ,Jiangsu Medical Journal , 编辑部邮箱 ,2012年24期
  • 【分类号】R733.1
  • 【下载频次】51
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