腹腔镜下原位脾切除治疗遗传性球形红细胞增多症临床观察  

Orthotopic splenectomy by laparoscope in treatment of hereditary spherocytosis

作　　者：曲义坤[1] 徐剑[1] 张英海[1] 夏伟滨[1] 

机构地区：[1]佳木斯大学附属第一医院普通外科,黑龙江佳木斯154002

出　　处：《局解手术学杂志》2013年第4期425-426,428,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的总结腹腔镜下原位脾切除治疗遗传性球形红细胞增多症的疗效。方法回顾分析我院实施脾切除术治疗22例遗传性球形红细胞增多症患者,其中采用腹腔镜下原位脾切除治疗10例,常规开腹行脾切除12例患者的临床资料。结果10例均成功完成腹腔镜下原位脾切除术,手术时间平均140 min,术中出血量平均150 mL,住院时间平均6 d,出院时血红蛋白均高于120 g/L,术后均未出现胰瘘,贫血及黄疸消失。结论腹腔镜下原位脾切除和常规开腹行脾切除相比具有创伤小、术中术后出血少、恢复快和并发症发生率低等优点,是治疗难治性遗传性球形红细胞增多症的有效方法。Objective To summarize the efficacy of orthotopic splenectomy by laparoscope in the treatment of hereditary spherocytosis. Methods There were 22 patients with hereditary spherocytosis （HS） ,who received orthotopic splenectomy by laparoscope, 10 cases of them underwent orthotopic splenectomy by laparoscope, 12 cases treated with traditional splenectomy. Results Ten cases successfully completed surgery. The average operation time was 140 min, average blood loss during operation was 150 mL,and average length of hospitalization was 6 days. The level of hemoglobin was higher than 120 g/L, no pancreatic fistula occurred postoperatively, anemia and jaundice disappeared. Conclusion Orthotopic splenectomy by laparoscope is a effective treatment for HS,with less trauma,less bleeding,faster recovery after surgery and lower incidence of complications.

关 键 词：遗传性球形红细胞增多症 腹腔镜原位脾切除术 治疗 

分 类 号：R555[医药卫生—血液循环系统疾病] R657.6[医药卫生—内科学]