腹腔镜术；特发性血小板减少性紫癜；脾切除术_

腹腔镜下脾切除术治疗特发性血小板减少性紫癜的临床应用研究(附15例报告)

http://www.100md.com 《腹腔镜外科杂志》 1998年第1期

腹腔镜术；特发性血小板减少性紫癜；脾切除术,,腹腔镜术；特发性血小板减少性紫癜；脾切除术,【关键词】腹腔镜术；特发性血小板减少性紫癜；脾切除术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜下脾切除术的手术方法和治疗特发性血小板减少性紫癜(idiopathic thrombocytopenic purpura,ITP)的临床效果。方法：选择15例ITP患者在腹腔镜下完成脾切除术，比较手术前后的血小板计数。结果：15例均在腹腔镜下完成脾切除术，平均手术时间160min，术中平均失血50ml，术后平均住院8d，总有效率为94%。术后1周内血小板的反应率为100%。无死亡、出血等严重并发症发生。结论：ITP患者行腹腔镜脾切除术是安全可行的，手术效果满意。

    【关键词】腹腔镜术；特发性血小板减少性紫癜；脾切除术

    The clinical application of laparoscopic splenectomy in the treatment of idiopathic thrombocytopenic purpura:with a report of 15 cases

    DAI Shaohua1,SUN Quan1,CHEN Bin2,et al.

    1.Zhongnan Hospital of Wuhan University,Wuhan 430077,China;2.Central Hospital of Jianghan Oil Field

    【Abstract】 Objective:To explore the operative method and clinical effect of treating idiopathic thrombocytopenic purpura (ITP)with laparoscopic splenectomy.Methods:Fifteen patients with ITP underwent laparoscopic splenectomy,and the platelet count was compared with that after operation.Results:All the operations were performed successfully by laparoscopy.The mean operative time was 160 min.The mean blood loss was 50ml.The mean time of hospital stay was 8 days.The total effective rate was 94%.The platelet response rate was 100% postoperatively within one week.No severe complications such as death,bleeding occured.Conclusions:Laparoscopic splenectomy for patients with ITP is safe and feasible.The operative effect is satisfactory. ......

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