Umbilical Cord Blood Banking

Umbilical Cord Blood Banking
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DOI:
10.1097/aog.0000000000001212
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发表时间:
2015-12-01
影响因子:
7.2
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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脐带血曾经被认为是与胎盘一起丢弃的废物,现在人们知道它含有可能挽救生命的造血干细胞。当用于造血干细胞移植时,脐带血比骨髓或外周干细胞有几个明显的优势。然而,脐带血采集不是常规产科护理的一部分,也没有医学指示。脐带血采集不应损害产科或新生儿护理或改变脐带夹紧时间的常规做法。如果患者要求提供有关脐带血银行的信息,应提供有关公共和私人脐带血银行的利弊的平衡和准确的信息。不建议常规储存脐带血作为预防未来疾病的生物保险。
Once considered a waste product that was discarded with the placenta, umbilical cord blood is now known to contain potentially life-saving hematopoietic stem cells. When used in hematopoietic stem cell transplantation, umbilical cord blood offers several distinct advantages over bone marrow or peripheral stem cells. However, umbilical cord blood collection is not part of routine obstetric care and is not medically indicated. Umbilical cord blood collection should not compromise obstetric or neonatal care or alter routine practice for the timing of umbilical cord clamping. If a patient requests information on umbilical cord blood banking, balanced and accurate information regarding the advantages and disadvantages of public and private umbilical cord blood banking should be provided. The routine storage of umbilical cord blood as biologic insurance against future disease is not recommended.