儿童顽固性血小板减少性紫癜脾栓塞治疗的临床探讨  

Clinical Study of Spleen Embolus Therapy on Infancy Stubbom Idiopathic Thrombocytopenic Purpura

作　　者：孟昭明[1] 郭新洪[1] 张改华[2] 

机构地区：[1]海军总医院影像中心,北京100037 [2]空军总医院内五科

出　　处：《中国医学影像技术》2002年第4期374-375,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨儿童顽固性血小板减少性紫癜 (ITP)脾栓塞的治疗方法和疗效。方法　超选择插管行部分脾栓塞 ,栓塞面积 70 %～ 80 % ,栓塞材料为医用明胶海绵及PVA颗粒。结果　 16例一次栓塞成功 ,半年观察 ,显效 7例、良效 5例、进步 2例、无效 2例 ,总有效率 87.5 %。结论　部分脾栓塞是优于切脾而安全可靠的一种治疗方法 ,可作为顽固性ITP治疗的首选。Objective To study the method and effect of spleen embolus on infancy stubbom idiopathic thrombocytopenic purpura. Methods Partial spleen embolus was performed by super elective canalization. The area of spleen embolus is about 70%-80%. The embolus materials are medical gelfoam particle and PVA. Results All 16 cases were successful treated through a single spleen embolus. Total effective rate is 87.5% at 6 months after the treatment, in which 7cases appear obvious effect, 5 cases good effect, 2 cases gets better and 2 case appears no effect. Conclusion Partial spleen embolus as a safety method to treat sbubbom idiopathic thrombocytopenic purpura is of choice and superior to splenectomy.

关 键 词：儿童 ITP 治疗性 脾栓塞 顽固性血小板减少性紫癜 

分 类 号：R725.546[医药卫生—儿科]