摘要
目的：探讨腹腔镜下脾切除术治疗内科难治性特发性血小板减少性紫癜（ITP）的可行性和疗效。方法：回顾性分析12例难治性ITP的临床资料,12例均采用完全腹腔镜下脾切除术进行治疗。结果：12例均成功完成腹腔镜下脾切除术,手术时间120-240min,平均140min,术中出血量80-400ml,平均150ml,术后均未出现严重并发症,皮肤瘀斑及出血点消失。随访半年,治愈11例（91.7%）,显效1例（8.3%）,11例（91.7%）血小板〉100×10^9/L。结论：腹腔镜下脾切除术是治疗难治性ITP的有效方法,具有创伤小、术中失血少、恢复快和并发症发生率低等优点。
Objective： To investigate the feasibility and effectiveness of laparoscopic splenectomy in patients with refractory idiopathic thrombocytopenic purpura （ITP） resistant to medical management. Methods.. A retrospectively study was done on clinical data and follow-up of 12 cases treated with totally laparoscopic splenectomy. Results： Laparoscopic splenectomy were successfully conducted in all cases with an operation time of 120-240 rain （mean, 140 rain） and estimated intraoperative blood loss of 80-400 ml （mean, 150 ml）. Postoperatively, there were no severe complications occurred in all cases. Ecchymosis and petechia disappeared. After 6 months of following-up, 11 cases were cured （91.7%） and 1 case had obvious effect （8.3%）. The BPC count of 11 cases exceeded 100× 10^9/L. Conclusion： Use of laparoscopic splenectomy for refractory ITP is safe, feasible and effective. This therapeutical method also have quicker recovery, less bleeding and complications.
出处
《新疆医科大学学报》
CAS
2007年第8期846-847,850,共3页
Journal of Xinjiang Medical University
