摘要
目的探讨脾动脉栓塞术治疗慢性血小板减少性紫癜(Chronic idiopathic thrombocytopenic purpura)的远期疗效及术后的不良反应。方法选择35例药物治疗无效的慢性血小板减少性紫癜患者,采用seldinger技术对脾动脉进行栓塞,栓塞面积为60%～80%,并于术后定时复查血常规,观察其远期疗效(1～3年)及术后并发症。结果所有患者术后均有不同程度发热、脾区疼痛等栓塞后综合征表现,给予药物后缓解。追踪1年,有效率达87.5%,追踪2年,有效率达64.0%,追踪3年,有效率达46.2%。结论脾动脉栓塞术治疗慢性血小板减少性紫癜远期效果良好,并发症少,值得临床推广。
Objective This paper is to evaluate long term effect of splenic embolization in treatment of chronic idiopathic thrombocytopenic purpura and postoperative complications.Methods 35 cases of chronic idiopathic thrombocytopenic purpura failed by medicine were treated with embolizatin of splenic artery using seldinger technique.The embolization area of splenic artery was about 60%～80%.The blood routine examination was performed regularly and the effect for treatment was evaluated.Results All patients had post embolizatiou syndrome after operation to different extent,such as fever and pains in spleen and so on.The effective power is 87.5%,64.0% and 46.2% respectively in one,two and three years.Conclusion Splenic embolization is an ideal treatment for patients who contract chronic idiopathic thrombocytopenic purpura.Its complication is few.So it is worthy to be popularized.
出处
《当代医学》
2011年第22期6-7,共2页
Contemporary Medicine
关键词
脾动脉栓塞
慢性血小板减少性紫癜
远期疗效
Splenic artery embolization
Chronic idiopathic thrombocytopenic purpura
Prostecdtive efficacy
