自体血单个核细胞治疗月经紊乱(附1例报告)

Dababsekh I.M, Dababsekh O.V, Lesniak Y.I., Oleksenko N.P.
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摘要

我们工作的目的是研究循环SC在血液中单个核部分恢复人类卵巢正常功能的有效性。AH270患者向诊所主诉近6个月月经周期不规律(月经周期38 ~ 60天)。在月经周期的第10天,全身麻醉下,从外周血池中分离出含有天然含核细胞部分的溶液2ml经阴道给予左右卵巢。镜检结果表明,所获得的部分含有不同大小的多态含核细胞,存活率为95-98%。2个月后,患者进行了随访检查,期间进行了盆腔器官超声检查,并进行了血液AMH和FSH水平的实验室诊断。根据盆腔器官超声检查结果,观察到以下变化-左右卵巢各有2个窦腔卵泡,直径达3mm。引入干细胞后的月经周期缩短至30-35天。因此,研究表明,含有循环祖细胞和干细胞的含核外周血池具有强大的再生作用,集中局部给药,在这种情况下,导致卵巢功能完全恢复和月经周期正常化。
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Use of Blood Mononuclear Cells Autologous Fraction for Treatment of Menstrual Disorders (Case Report)
The aim of our work was to investigate the effectiveness of circulating SC in the blood mononuclear fraction to restore normal functioning of the human ovaries. AH270 patient complained to the clinic about an irregular menstrual cycle in the last 6 months (duration of the menstrual cycle from 38 to 60 days). On day 10 of the menstrual cycle, under general anesthesia, 2 ml of a solution containing a fraction of native nucleus-containing cells isolated from a pool of peripheral blood was administered transvaginally to the right and left ovaries. Microscopic examination of these cells showed that the obtained fraction contains polymorphic nucleus-containing cells of different sizes and high viability, which was 95-98%. After 2 months, the patient came for a follow-up examination, during which an ultrasound of the pelvic organs was performed, as well as laboratory diagnostics of blood tests for AMH and FSH levels. Were taken according to the results of ultrasound of the pelvic organs, the following changes were observed - in the right and left ovaries there were 2 antral follicles in each, up to 3 mm in diameter. The duration of the menstrual cycle after the introduction of stem cells has decreased to 30-35 days. Thus, it is shown that the pool of nuclear-containing peripheral blood cells, which contains circulating progenitors and stem cells, has a powerful regenerative effect with concentrated topical administration, which in this case led to a full functional recovery of the ovaries and normalization of the menstrual cycle.
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