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急性白血病的骨髓移植

Bone-marrow transplantation in acute leukaemia.

作者信息

Gale R P, Feig S, Ho W G, Falk P, Winston D, Young L S, Opelz G, Opelz G, Tesler A, Sparkes R, Graze P R, Sarna G, Golde D W, Territo M C, Bryson Y, Gossett T, Naiem F, Fawzy F, Haskell C, Fahey J L, Cline M J

出版信息

Lancet. 1977 Dec 10;2(8050):1197-200.

PMID:73901
Abstract

Survival in 33 patients with resistant leukaemia treated by marrow transplantation was compared with that of 37 matched patients treated by conventional and experimental chemotherapy. All patients in the transplant group were rendered free of detectable leukaemia for periods of from 36 days to more than 2 1/2 years, while only 6 patients in the chemotherapy group achieved a haematological remission. Overall survival in both groups was poor; however, 5 patients (15%) in the transplant group remain alive and in haematological remission 1--2 1/2 years after transplantation, while no patient in the chemotherapy group survived longer than 13 months. Bone-marrow transplantation appears to offer a small but distinct possibility of long-term survival in patients with acute leukaemia resistant to conventional therapy.

摘要

对33例接受骨髓移植治疗的耐药白血病患者的生存率与37例接受传统和实验性化疗的匹配患者的生存率进行了比较。移植组的所有患者在36天至超过两年半的时间内白血病检测呈阴性,而化疗组只有6例患者实现了血液学缓解。两组的总体生存率都很低;然而,移植组有5例患者(15%)在移植后1至两年半仍存活且处于血液学缓解状态,而化疗组没有患者存活超过13个月。对于对传统治疗耐药的急性白血病患者,骨髓移植似乎提供了一个虽小但明显的长期生存可能性。

相似文献

1
Bone-marrow transplantation in acute leukaemia.急性白血病的骨髓移植
Lancet. 1977 Dec 10;2(8050):1197-200.
2
Allogeneic bone marrow transplantation for acute leukaemia: comparative outcomes for adults and children.急性白血病的异基因骨髓移植:成人与儿童的比较结果
Br J Haematol. 1988 Jul;69(3):351-8. doi: 10.1111/j.1365-2141.1988.tb02373.x.
3
A comparison of marrow transplantation with chemotherapy for children with acute lymphoblastic leukemia in second or subsequent remission.
N Engl J Med. 1981 Oct 8;305(15):846-51. doi: 10.1056/NEJM198110083051502.
4
Allogeneic bone marrow transplantation for leukaemia in Europe. Report from the Working Party on Leukaemia, European Group for Bone Marrow Transplantation.欧洲白血病的异基因骨髓移植。欧洲骨髓移植组白血病工作组报告。
Lancet. 1988 Jun 18;1(8599):1379-82.
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Autologous or allogeneic bone marrow transplantation compared with intensive chemotherapy in acute myelogenous leukemia. European Organization for Research and Treatment of Cancer (EORTC) and the Gruppo Italiano Malattie Ematologiche Maligne dell'Adulto (GIMEMA) Leukemia Cooperative Groups.自体或异基因骨髓移植与急性髓性白血病强化化疗的比较。欧洲癌症研究与治疗组织(EORTC)和意大利成人恶性血液病研究组(GIMEMA)白血病协作组。
N Engl J Med. 1995 Jan 26;332(4):217-23. doi: 10.1056/NEJM199501263320403.
6
Bone marrow transplantation in leukemia.
Ann Clin Res. 1981;13(4-5):367-72.
7
Allogeneic bone marrow transplant or second autograft in patients with acute leukemia who relapse after an autograft. Acute Leukaemia Working Party of the European Group for Blood and Marrow Transplantation (EBMT).异基因骨髓移植或自体移植后复发的急性白血病患者的第二次自体移植。欧洲血液和骨髓移植组(EBMT)急性白血病工作组。
Bone Marrow Transplant. 1999 Aug;24(4):389-96. doi: 10.1038/sj.bmt.1701918.
8
Bone-marrow transplantation for acute lymphoblastic leukaemia.急性淋巴细胞白血病的骨髓移植
Lancet. 1983 Sep 17;2(8351):663-7.
9
Allogeneic bone marrow transplantation for acute myeloblastic leukaemia in remission: risk factors for long-term morbidity and mortality.
Bone Marrow Transplant. 2003 May;31(10):877-87. doi: 10.1038/sj.bmt.1704027.
10
[High-dose busulfan with subsequent bone marrow transplantation in poor-risk forms of leukemia].[大剂量白消安随后进行骨髓移植治疗高危型白血病]
Wien Klin Wochenschr. 1987 Mar 6;99(5):144-9.

引用本文的文献

1
[Controversial viewpoints on the use of historical controls: Is there an all-or-nothing law?].[关于使用历史对照的争议观点:是否存在非此即彼的法则?]
Langenbecks Arch Chir. 1981;355:399-409. doi: 10.1007/BF01286878.
2
[Bone marrow transplantation for relapsed, acute leukaemia (author's transl)].
Klin Wochenschr. 1981 Mar 16;59(6):251-66. doi: 10.1007/BF01478204.
3
Progress in bone marrow transplantation in man.人类骨髓移植的进展。
Surv Immunol Res. 1982;1(1):40-66. doi: 10.1007/BF02918241.