脾切除治疗慢性特发性血小板减少性紫癜疗效观察  

The Effectiveness of Splenectomy in Patients with Idiopathic Thrombocytopenic Purpura

作　　者：王波涌[1] 孙权[1] 雷道雄[1] 艾中立[1] 

机构地区：[1]武汉大学附属中南医院普外科,湖北武汉430070

出　　处：《中国血液流变学杂志》2008年第2期234-236,共3页Chinese Journal of Hemorheology

摘　　要：目的观察脾切除对特发性血小板减少性紫癜(ITP)的治疗效果。方法对1996年～2007年内科治疗无效的58例ITP患者行脾切除手术,并对其临床疗效进行观察。结果术后l周内血小板恢复正常(≥10×109/L)者45例(77.6%),术后2月随访总有效率82.7%(48/58)。术后50例获随访>6月,总有效率为80%(40/50),10例复发。结论对内科治疗无效或复发的ITP脾切除治疗有效,术后血小板回升较早者预后较好。Objective To investigate the effectiveness of splenectomy in patients with idiopathic thrombocytopenic purpura who failed to respond to conservative management.Method Fifty-eight patients were treated with splenectomy and the clinical outcome was observed.Results Platelet count recovered to normal (≥10×109/L) one week after operation in 45 cases(77.6%).The total effective rate was 75.6% when followed-up for 2 months, 80% when tbliowed-up for 6 months and 10 cases had recurrence.Conclusions Splenectomy is a ...

关 键 词：紫癜 血小板减少性 特发性 脾切除术 

分 类 号：R657.6[医药卫生—外科学]