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本文报告胰岛移植治疗糖尿病共20例,近期疗效达85％,其中1例老年糖尿病患者已持续停胰岛素1年又9个月。移植部位在腹腔小网膜腔或胸大肌内。病例系选择Ⅰ型糖尿病和Ⅱ型糖尿病患者中较长期需大剂量用胰岛素者(包括老年患者)。1例曾移植3次并有显著疗效者于同一植入部位两次取活检却未见胰岛样细胞生长。临床有效但形态学上未见供体存在的原因尚待进一步研究。
This article reports a total of 20 cases of islet transplantation for the treatment of diabetes, the recent efficacy of 85%, of which 1 case of elderly patients with diabetes have been stopped insulin for 1 year and 9 months. Transplanted site in the peritoneal pouch or pectoralis major. Cases of type I and type II diabetes patients choose long-term high-dose insulin (including elderly patients). One case had been transplanted 3 times and had significant effect in the same implantation site twice to take biopsy but no islet-like cell growth. The reasons why clinically effective but morphologically no donors exist remains to be further studied.