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Effect of intrahepatic transplantation of hepatic artery autologous bone marrow stem cells influence on clinical outcome, liver function and coagulation parameters of decompensated liver cirrhosis |
HAO Deyan1 SONG Zhi2▲ MENG Xingkai1 |
1.Department of Surgery, the Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010059, China;
2.Department of Library, the Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010059, China |
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Abstract Objective To observe the clinical effect of hepatic arterial autologous bone marrow stem cell intrahepatic transplantation for decompensated cirrhosis and its influence on liver function and coagulation indicators. Methods A total of 68 patients with decompensated liver cirrhosis admitted to Department of Surgery of the Affiliated Hospital of Inner Mongolia Medical University from December 2016 to December 2017 were selected and intrahepatic transplantation of hepatic artery autologous bone marrow stem cells was performed on all of the patients. The clinical efficacy and complications were observed. The symptoms, liver function, coagulation index and quality of life were compared before and after treatment. Results The total effective rate was 68.6% in 68 patients, and the postoperative complication rate was 8.82%. After treatment, the scores of fatigue, anorexia, abdominal distension, jaundice and ascites were lower than those before treatment (P < 0.05). The liver function index (tatal bilirubin aspartate asninotransferose, alanine amin of ranferase, albwnin) after treatment were improved compared with those before treatment (P < 0.05). The physical health, mental health, social function, material life score and total score after treatment were improved compared with those before treatment (P < 0.05). Conclusion For patients with decompensated cirrhosis, intrahepatic transplantation of hepatic artery autologous bone marrow stem cells is effective, the symptoms are relieved, liver function is improved, coagulation function is not affected, and the quality of life of patients is improved, and it is safe and effective.
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[1] 张自成,梅冬雪,刘斌,等.双环醇联合异甘草酸镁治疗失代偿期肝硬化疗效观察[J].中华实用诊断与治疗杂志,2017,31(1):76-78.
[2] 易敏,付必莽,张捷.骨髓间充质干细胞移植治疗肝硬化的研究进展[J].医学综述,2015,21(15):2725-2728.
[3] 朱彦红,武利萍,韩大正.人脐血干细胞治疗失代偿期肝硬化对血常规和凝血功能的影响及其临床意义[J].中国现代医学杂志,2015,25(11):33-37.
[4] 刘保池,冯铁男,李垒,等.自体骨髓对失代偿期肝硬化合并小肝癌的治疗[J].肝胆胰外科杂志,2017,29(3):188-191.
[5] 赵兴旺,张龙龙,张亮,等.骨髓间充质干细胞移植治疗肝硬化的研究进展[J].国际生物医学工程杂志,2016,39(4):239-243.
[6] 陈玉梅,王丽华,李炳茂,等.脐血干细胞联合人参促分化合剂治疗失代偿期肝硬化疗效研究[J].中国全科医学,2015,18(2):211-214.
[7] 崔永辉.自体骨髓干细胞移植联合恩替卡韦治疗乙型肝炎肝硬化失代偿期的临床研究[J].中华消化病与影像杂志,2015,5(3):11-15.
[8] 陈速,李彦鹏,黄爱轩,等.血清前白蛋白结合Child-Pugh分级对肝硬化患者的临床评价[J].中国医药科学,2016,6(1):162-164.
[9] 杨志勇,吴晓枫,张明香,等.抗病毒药物治疗对失代偿期乙型肝炎肝硬化患者长期预后的影响[J].中国现代医生,2018,56(19):75-77,81.
[10] 周家杰,刘伟玲,周小惠,等.安络化纤丸联合阿德福韦酯、拉米夫定治疗失代偿期乙肝肝硬化患者疗效观察[J].内科,2017,12(3):367-369.
[11] 樊慧,刘国平,张正安.阿德福韦酯联合拉米夫定治疗乙肝肝硬化的疗效及对患者肝功能与生存质量的影响[J].慢性病学杂志,2017,18(10):1161-1163.
[12] Bihari C,Anand L,Rooge S,et al. Bone marrow stem cells and their niche components are adversely affected in advanced cirrhosis of the liver [J]. Hepatology,2016,64(4):1273-1288.
[13] 沈建坤,郑联坵,潘兴南,等.自体骨髓间充质干细胞治疗失代偿期酒精性肝硬化疗效分析[J].实用肝脏病杂志,2015,18(6):628-632.
[14] 郑盛,杨涓,刘琼,等.经肝固有动脉自体骨髓间充质干细胞移植治疗肝硬化失代偿期患者[J].中华移植杂志,2015,9(4):165-169.
[15] 赖瑜娜,张玉芳,陈虹.护理干预改善肝硬化失代偿期患者生存质量的研究[J].中国医药科学,2017,7(8):169-171.
[16] 江巧丽,谢齐贵.益生菌辅助治疗乙肝后肝硬化失代偿期的临床效果[J].中国医药导报,2016,13(20):111-114.
[17] 李强,尹晓霞,秦敏,等.双歧杆菌四联活菌在失代偿期肝硬化患者中的应用价值分析[J].中国医药科学,2018, 8(13):228-230,247.
[18] 王丽华,陈玉梅,李炳茂,等.脐带血干细胞对慢乙肝失代偿期肝硬化的临床疗效[J].中华细胞与干细胞杂志,2016,6(5):292-296.
[19] 刘克万,陈伟.自体干细胞移植联合高压氧治疗失代偿期肝硬化疗效观察[J].实用肝脏病杂志,2015,18(4):420-421.
[20] 康玮玮,卢颖,陈煜.肝爽颗粒治疗乙型肝炎肝硬化有效性与安全性的系统评价[J].中国医药,2017,12(9):1375-1378.
[21] 李娟,刘义庆,张玥,等.丙型肝炎病毒RNA载量和肝功能联合检测在丙型肝炎诊断中的意义[J].中国医药,2018,13(6):882-886.
[22] 安选,钟庆,刘书宏,等.自体骨髓干细胞移植治疗失代偿肝硬化优化方案的临床研究[J].中国生化药物杂志,2015,35(4):97-100.
[23] 马建平,马洪德,庞国宏,等.自体骨髓干细胞移植对肝硬化凝血、肝功能及转归的影响[J].中国临床实用医学,2016,7(4):35-37.
[24] Lin PC,Chiou TW,Lin ZS,et al. A proposed novel stem cell therapy protocol for liver cirrhosis [J]. Cell Transplant,2015,24(3):533-540.
[25] El-Akabawy G,El-Mehi A. Mobilization of endogenous bone marrow-derived stem cells in a thioacetamide-induced mouse model of liver fibrosis [J]. Tissue Cell,2015,47(3):257-265.
[26] 郭春辉,韩兰秀,万美容,等.失代偿性肝硬化患者骨髓间充质干细胞对自体淋巴细胞增殖的影响及机制研究[J].中华实验和临床病毒学杂志,2015,29(2):100-102.
[27] 陆光生,景晔,徐和福,等.肝炎肝硬化血细胞减少与骨髓病态造血及脾功能相关性研究[J].中国医学装备,2016, 13(11):93-97.
[28] 刘瑜,曾艳,彭翠翠,等.急性白血病行自体外周血造血干细胞移植治疗的临床疗效分析[J].成都医学院学报,2016,11(2):201-205. |
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