Evidence map›Paper›PMID 36160909›Full record

ArticleExperimental and therapeutic medicine2022

Therapeutic effect of autologous bone marrow cells injected into the liver under the guidance of B‑ultrasound in the treatment of HBV‑related decompensated liver cirrhosis.

Lei Li, Yanhui Si, Mingrong Cheng, Lin Lang, Aijun Li, Baochi Liu

Abstract read
In one paragraph

Article in Experimental and therapeutic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lei LiDepartment of Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, P.R. China.
Yanhui SiDepartment of Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, P.R. China.
Mingrong ChengHenuo Medical Clinic, Shanghai New Hongqiao International Medical Center, Shanghai 201100, P.R. China.
Lin LangDepartment of General Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China.
Aijun LiDepartment of Hepatobiliary Surgery, Oriental Hepatobiliary Surgery Hospital Affiliated to Naval Military Medical University, Shanghai 200433, P.R. China.
Baochi LiuDepartment of Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 5-year mortality rates associated with decompensated liver cirrhosis (DLC) can reach 50%, which suggests that this condition poses a serious health risk. In previous studies conducted by our group, autologous bone marrow nucleated cells (ABMNCs) were used to treat HIV-positive patients with DLC through the right omental vein; however, trauma and poor compliance were encountered. In the present study, the percutaneous liver approach to inject ABMNCs under the guidance of B-ultrasound was employed for the treatment of DLC. A total of 108 patients with DLC were retrospectively divided into the routine drug treatment group (control group; 30 cases), the right omental vein infusion of ABMNCs group (observation group 1; 38 cases) and the B-ultrasound-guided liver injection of ABMNCs group (observation group 2; 40 cases). After treatment, the liver synthesis (prothrombin time, albumin and ascites) and secretion functions (total bilirubin) in observation groups 1 and 2 were significantly improved compared with those of the control group (P<0.01) and the bone marrow function was also significantly improved compared with that of the control group (P<0.01). While, the bone marrow function (white blood cell, platelet, and hemoglobin) in observation group 1 was significantly improved compared with that of observation group 2 at the end of treatment (P<0.01). After a 1-year follow-up, the case fatality rate was 2.5% (1/40) in observation group 2, which was significantly lower than the 20% fatality rate (6/30) recorded in the control group (P<0.05). The injection of ABMNCs into the liver under the guidance of B-ultrasound was significantly better than conventional drug therapy in treating DLC. This approach has obvious advantages such as no hospitalization, minimal trauma, rapid recovery and good compliance, all of which make it worthy of application in primary hospitals.

Indexed as

bone marrow stem cellsDLCminimally invasive treatmentnucleated cell therapysurgical treatment

Identifiers

PMID36160909
PMCPMC9468850

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.