摘要
目的 评估脾切除术治疗儿童特发性血小板减少性紫癜 ( ITP)的安全性和有效性。方法 回顾分析 5年 3 7例ITP患儿行选择性脾切除术的疗效和术后早期并发症。结果 所有患儿在转入外科前均在内科接受正规治疗。 3 2例 ( 86.6% )患儿脾切除后效果显著 ,5例 ( 13 .4 % )部分显效。术后并发症有 3例 ,其中 1例为严重感染。结论 选择性脾切除术是儿童 ITP一种安全和有效的治疗手段。
Objective To evaluate the splenectomy for idiopathic thrombocytopenic purpura in children.Methods The data from 37 pediatric patients with idiopathic thrombocytopenic purpura who have undergone splenectomy during 5 years was retrospective reviewed.Results All the patients were referred to surgeon after initial medical management.Eighty-six percent of the patients had complete response.Thirteen percent had a partial response with platelet counts>50,000.The postoperative complication rate was 8.1%.Conclusion Splenectomy is a safe and effective method for the treatment of idiopathic thrombocytopenic purpura in children without deaths or postsplenectomy sepsis.
出处
《肝胆外科杂志》
2001年第4期262-263,共2页
Journal of Hepatobiliary Surgery
