腹腔镜下脾切除术在治疗特发性血小板减少性紫癜的应用  

Efficacy of Laparoscopic Splenectomy in Treatment of Idiopathic Thrombocytopenic Purpura

作　　者：彭兵[1] 杜景平[1] 牛挺[2] 罗艳丽[1] 徐冰[1] 罗一钊[1] 王云[1] 

机构地区：[1]四川大学华西医院普外科,四川成都610041 [2]四川大学华西医院血液科,四川成都610041

出　　处：《华西医学》2006年第3期440-441,共2页West China Medical Journal

摘　　要：目的：探讨腹腔镜脾切除术在治疗特发性血小板减少性紫癜中的应用，手术方法及临床效果。方法：利用腹腔镜技术在CO2气腹情况下对8例ITP患者行脾切除术，并对手术前后患者一般情况的改善，血小板计数的变化，并发症的出现与否及恢复情况等进行分析。结果：8例有1例中转开腹，7例成功完成腹腔镜切脾。该7例的平均手术时间为120min，术中失血100ml，术后胃肠蠕动恢复时间为12～24h，平均住院时间为5天，无并发症。结论：腹腔镜脾切除术治疗特发性血小板减少性紫瘢是安全可行的，只要掌握好脾切除术的手术指征及腹腔镜下的操作技巧，它就是脾脏手术的最佳方法之一。Objective： To evaluate the efficacy of laparoscopic splenectomy （LS） in the treatment of idiopathic thrombocytopenie purpura （ITP）. Methods： Eight patients with ITP underwent IS. The data of preoperative and postoperative platelet counts, intraoperative blood loss, recovery time, hospital stay time, and complications were analyzedg. Results： Average operation time was 120min, average blood loss in operation was 100ml, peristalsis of alimentary tract was recovered in 12 - 24 hours after operation in all cases. Their mean hospitalization time was 5 days. No complications were seen in the cases. Conclusion： IS was a relatively safe and effective measure for treatment of ITP.

关 键 词：腹腔镜 脾切除术 紫癜 血小板减少性 特发性 

分 类 号：R657.63[医药卫生—外科学]