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目的:探讨不同免疫次数及不同免疫原,对接受主动免疫治疗的原发性习惯性流产患者妊娠成功率的影响。方法:对38例有习惯性流产史的接受淋巴细胞主动免疫治疗的孕妇,进行回顾性分析。结果:接受2次主动免疫治疗的患者,妊娠成功率为87.5%(14/16),而接受4次免疫治疗的患者,成功率为86.4%(19/22),两种疗法的成功率比较,差异无显著性。采用丈夫淋巴细胞为免疫原治疗的患者,成功率为84.2%(16/19),而采用第3个体淋巴细胞为免疫原治疗的患者,成功率89.5%(17/19),两组成功率比较,差异也无显著性。结论:为预防潜在的血源感染,主动免疫疗法可从4次改为2次,而免疫原可选择患者丈夫,也可采用健康的无关第3个体。
Objective: To investigate the effect of different times of immunization and different immunogens on the success rate of pregnancy in primary habitual abortion patients receiving active immunotherapy. Methods: A retrospective analysis was performed on 38 pregnant women undergoing active immunotherapy of lymphocytes with a history of habitual abortion. Results: The rate of successful pregnancy was 87.5% (14/16) in patients receiving two active immunizations, and 86.4% (19/22) in patients receiving four immunizations. Both treatments The success rate comparison, the difference was not significant. The success rate was 84.2% (16/19) in patients treated with her husband’s lymphocytes as immunogen, and 89.5% (17/19) in patients treated with the third human lymphocyte as immunogen. The success rate of the two groups, the difference was not significant. CONCLUSIONS: In order to prevent potential blood-borne infections, active immunotherapy can be changed from 4 to 2, whereas the immunogen may choose to be the husband of the patient or a third unrelated, healthy person.