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目的:探讨应用米托蒽醌+阿糖胞苷+足叶乙甙(MAE)方案治疗CD7+急性髓性白血病(CD7+AML)的有效性。方法:采用MAE方案联合化疗治疗经细胞形态学、细胞化学及细胞免疫学分型诊断为CD7+AML12例,并监测化疗后骨髓像变化及化疗相关毒性反应。结果:12例中,7例达完全缓解,1例达部分缓解,总有效率为66.7%,持续缓解时间6~36个月。化疗相关毒性略大于HA和DA方案,主要特征为骨髓抑制期延长。结论:MAE方案可提高CD7+AML的缓解率,尽管化疗后骨髓抑制期延长,但能被患者耐受。“,”Objective:To study the effect of chemotherapy with MAE protocolfor CD7-positive acute myelogenous leukemia (CD7+AML) which represented a distinct biological and clinical subtype.Methods:Immunophenotyping in 97 patients of AML was tested by indirect immunofluorescence. Patients of CD7-positive expression received the treatment with MIT,Ara-c,Vp-16. The change of bone marrow and peripheral blood cell after chemotherapy and the clinical feature of related toxicity were monitored.Results:CD7+ was expressed in 12 patients (12.6%). Of the 12 patients, 7 cases achieved complete remission (CR), 1 case partial remission (PR), the overall response rate was approximately 66.7%, and DFS were 6~36 months. The chemotherapy related toxicity was slightly bigger than that of HA,DA protocol and the salient clinical features was the prolongation of the arrest interval of bone marrow.Conclusions:MAE protocol could improved CR rate in CD7+AML, bone marrow hemotopoietic impression was prolonged but no lethal complication existed.