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为降低自体骨髓移植(ABMT)后的复发。采用重组白细胞介素2(rIL-2)激活骨髓(ABM)自体移植治疗白血病11例。10例预处理用MACC(马法兰、阿糖胞苷、环磷酰胺和环已亚硝脲)方案、1例用全身照射+环磷酰胺方案;移植后当天开始用rIL-2(2~4)×10 ̄5U/d×(15~30天),0~+5天开始用G-CSF300μg/L×(5~15天)。结果:所有患者造血都得到重建,时间缩短;移植前5例未缓解患者移植后均获完全缓解(CR),2例在移植后10个月与132天复发,其它9例持续CR至1996年3月,CR期为56天~30个月。2例出现皮肤移植物抗宿主病样表现;移植中感染发生率为36.4%。结论:ABM自体移植治疗白血病有效,并可能诱导移植物抗白血病效应,降低ABMT的复发率,联合应用G-CSF和IL-2能加速移植后造血重建。
To reduce the recurrence after autologous bone marrow transplantation (ABMT). Recombinant interleukin 2 (rIL-2) activated bone marrow (ABM) autologous transplantation for treatment of leukemia in 11 cases. 10 cases of pretreatment with MACC (Maffar, Cytarabine, Cyclophosphamide and Cyclohexamide), 1 case of systemic irradiation + Cyclophosphamide regimen; rIL-2 (2~4) started on the day after transplantation ×10 to 5 U/d× (15 to 30 days), and G-CSF 300 μg/L× (5 to 15 days) from 0 to +5 days. Results: Hematopoiesis was reconstructed and shortened in all patients; 5 patients who had not remission before transplantation received complete remission (CR) after transplantation, 2 patients relapsed after 10 and 132 days after transplantation, and the remaining 9 patients sustained CR through 1996. In March, the CR period was 56 days to 30 months. Skin graft-versus-host disease-like manifestations occurred in 2 cases; the incidence of infection during transplantation was 36.4%. Conclusion: ABM autologous transplantation is effective for treatment of leukemia, and may induce graft-anti-leukemia effect and reduce the recurrence rate of ABMT. Combined application of G-CSF and IL-2 can accelerate the hematopoietic reconstitution after transplantation.