脾切除术；血小板减少症；腹腔镜_

腹腔镜脾切除治疗原发性血小板减少性紫癜(附8例报告)

http://www.100md.com 《腹腔镜外科杂志》 2006年第5期

脾切除术；血小板减少症；腹腔镜,,脾切除术；血小板减少症；腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【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8×109～291×109/L，1例51×109/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。

    【关键词】脾切除术；血小板减少症；腹腔镜

    Laparoscopic splenectomy in treatment of idiopathic thrombocytopenic purpura

    JIANG Geng,HU Kai,LIU Jing，et al.

    The Second People's Hospital of Jingzhou City,Jingzhou 434000,China

    【Abstract】 Objective: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 7.8×10929.1×109/L in 7 cases.1 case whose amount of platelet was 5.1×109/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. ......

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