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Zhonghua Xue Ye Xue Za Zhi ; 37(6): 458-63, 2016 Jun 14.
Artigo em Chinês | MEDLINE | ID: mdl-27431067

RESUMO

OBJECTIVE: To compare occurrence and curative effect of interstitial pneumonia (IP) of patients with malignant hematologic disease after related HLA-haploidentical peripheral blood stem cell transplantation without T-cell depletion (RHNT-PBSCT) and non T cell-depleted HLA-matched sibling peripheral blood stem cell transplantation (MSNT-PBSCT). METHODS: 109 patients with malignant hematologic disease as the research cases received RHNT-PBSCT from January 2006 to December 2014, which were compared with 125 patients treated with MSNT-PBSCT during the same period to determine the occurrence of IP and curative effect produced by ganciclovir and joint adrenal glucocorticoids. RESULTS: The incidences of IP in RHNT-PBSCT and MSNT-PBSCT groups were 15.60%(17/109) and 13.60%(17/125) (P=0.150), respectively; both the effective rates were 76.47%(13/17) (P=0.536), the difference was not statistically significant. Single factor analysis showed that acute graft versus host disease was a risk factor for the occurrence of IP after RHNT-PBSCT (P=0.001). CONCLUSION: The incidence of IP in patients with malignant hematologic disease after RHNT-PBSCT didn' t increase when compared with patients after MSNT-PBSCT. The curative effects of the two groups were equivalent after priority to ganciclovir and joint adrenal glucocorticoids.


Assuntos
Doenças Hematológicas/complicações , Doenças Hematológicas/terapia , Doenças Pulmonares Intersticiais/complicações , Transplante de Células-Tronco de Sangue Periférico/métodos , Ganciclovir/uso terapêutico , Glucocorticoides/uso terapêutico , Doença Enxerto-Hospedeiro/complicações , Humanos , Incidência , Fatores de Risco , Irmãos
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