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The clinical research of umbilic cord blood stem cell transplantation in non-posthepatitic cirrhosis

  

  • Received:2011-12-29 Revised:2012-06-07 Published:2013-01-15 Online:2013-01-15

Abstract: 【Abstract】 Objective: To evaluate and assess the efficacy of umbilic cord blood stem cell transplantation through hepatic artery in the therapy of patients with non-posthepatitic cirrhosis. Methods: 10-15ml umbilic cord blood stem cells were transplanted into the liver through hepatic artery in 12 patients with non-posthepatitic cirrhosis. Alanine aminotransferase(ALT), albumin(ALB), total bilirubin(TB) and fibrinogen(FIB) were observed at pre-transplantation,1 week ,1 month and 3 months after transplantation were measured and analyzed. Results: All patients were transplanted successfully. The symptoms such as anorexia, fatigue,and distension/ascites begun improved at 1 week post-transplantation and showed significant improvement at 3 months post-transplantation (P<0.05).ALT increased at 1 week post-transplantation compared with pre-transplantation (P<0.01),while ALB decreased slightly at 1 week after transplantation(P<0.05), TB showed insignificant increase after transplantation(P>0.05), while FIB decreased insignificantly at the same time(P>0.05).All variable resumed to pre-transplantation level at 1month post-transplantation(P>0.05).There was significant improvement 3 months after transplantation(P<0.05),but the level of ALB and FIB were still under the lower limit. No severe effect and serious complication occurred. No occupying lesions was detected in liver by CT or B-ulreasound at 3 month post-transplantation. Conclusion: The transplantation of umbilic cord blood stem cell through hepatic artery in therapy of patients with non-posthepatitic cirrhosis was a safe and recommendable method with creditable short-term efficacy,but still need further research.

Key words: stem cell, umbilic cord blood, non-posthepatitic cirrhosis, hepatic artery, transplantation, interventional radiology.