摘要
目的：探讨腹腔镜脾切除术（LS）治疗原发性血小板减少性紫癜（ITP）的临床意义。方法：回顾分析8例LS治疗ITP的临床资料。结果：8例均治愈，无再发出血，血小板总数上升为7、8×10^9～29．1×10^9／L，1例5、1×10^9／L，经糖皮质激素治疗（15mg／d），3月后停药，1例脾窝积液，2例脾热，经抗炎对症治疗后14d痊愈。结论：LS治疗ITP是一种理想的治疗方法。
Objectlve：To study the clinical value of laparoscopic splenectomy in treatment of idiopathic thrombocytopenic purpura（ITP）. Methods：The data of 8 cases with ITP underwent laparoscopic splenectomy were analysed retrospectively. Results：All cases were cured and no rebleeding occured. The amount of platelet raises up to 7.8 ×10^9-29. 1 ×10^9/L in 7 cases. 1 case whose amount of platelet was 5.1 ×10^9/L received treatment of glucocorticoid（15mg/d） for 3 months. There were splenic recess hydrops in 1 case and splenic fever in 2 cases. These 3 cases were cured by anti-inflammatory and symptomatic treatment. Conclusions ： Laparoscopic splenectomy is an ideal method for patients with idiopathic thrombocytopenic purpura.
出处
《腹腔镜外科杂志》
2006年第5期376-377,共2页
Journal of Laparoscopic Surgery
