B-ultrasound-guided Intrahepatic Infusion of Autologous Bone Marrow Cells for Decompensated Cirrhosis

Baochi Liu, Gao Xiong, Yuanhuai Chen, Qiqiang Dong, Jingbo Wang, Baisong Zhao
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Abstract

Objective: To study the therapeutic effect of B-ultrasound-guided intrahepatic infusion of autologous bone marrow nucleated cells on decompensated cirrhosis. Methods: To observe the clinical treatment of 75 cases of decompensated cirrhosis. Among them, 30 cases received routine liver protection and diuretic treatment. 45 cases were treated by percutaneous transhepatic infusion of autologous bone marrow nucleated cells under the guidance of B ultrasound. There were no significant differences in liver function and blood routine indexes between the two groups before treatment (p > 0.05). Results: The indexes of liver function and blood routine at different time periods of 1 month, 3 months, 6 months, and 12 months in the conventional treatment group did not change significantly. 6 cases died of liver failure within 1 year, the fatality rate was 20%. The indexes of liver function and blood routine of percutaneous liver transhepatic infusion of autologous bone marrow nucleated cells at 1 month, 3 months, 6 months, and 12 months under the guidance of B-ultrasound were significantly better than those of the conventional treatment group (p < 0.05). One case died of gastrointestinal bleeding in the group of percutaneous transhepatic infusion of autologous bone marrow nucleated cells guided by B ultrasound, with a fatality rate of 2.5%. Compared with the conventional treatment group, there were significant differences (p < 0.05). Conclusion: Conventional drug therapy has no obvious effect on decompensated cirrhosis. Intrahepatic infusion of bone marrow nucleated cells can significantly promote liver function reconstruction in decompensated cirrhosis.
B 超引导下的自体骨髓细胞肝内输注治疗失代偿期肝硬化
研究目的研究 B 超引导下肝内输注自体骨髓有核细胞对失代偿期肝硬化的治疗效果。方法:观察 75 例失代偿期肝硬化患者的临床治疗效果:观察 75 例失代偿期肝硬化患者的临床治疗情况。其中,30 例接受常规保肝利尿治疗。45例在B超引导下经皮经肝输注自体骨髓有核细胞治疗。两组患者治疗前肝功能和血常规指标无明显差异(P>0.05)。结果常规治疗组在1个月、3个月、6个月和12个月不同时间段的肝功能和血常规指标无明显变化。6 例患者在 1 年内死于肝功能衰竭,死亡率为 20%。B 超引导下经皮肝穿刺输注自体骨髓有核细胞治疗组 1 个月、3 个月、6 个月和 12 个月的肝功能和血常规指标明显优于常规治疗组(P < 0.05)。B 超引导下经皮经肝输注自体骨髓有核细胞组有 1 例死于消化道出血,死亡率为 2.5%。与常规治疗组相比,差异有显著性(P<0.05)。结论常规药物治疗对失代偿期肝硬化无明显效果。骨髓有核细胞肝内灌注能明显促进失代偿期肝硬化患者的肝功能重建。
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