特发性血小板减少性紫癜部分脾动脉栓塞术的临床疗效分析

目的：探讨部分脾动脉栓塞术治疗特发性血小板减少性紫癜的临床疗效。方法：对21例特发性血小板减少性紫癜患者在数字减影血管造影（digital subtraction angiography,DSA）下行超选择性脾动脉栓塞术治疗。结果：21例患者均于术后3天血小板开始上升,7-14天达高峰,总有效率85.7%,术前、术后血小板计数差异有显著性（P〈0.01）。结论：部分脾动脉栓塞术治疗特发性血小板减少性紫癜疗效明显,并发症少,值得推广。

Evaluation of the clinical effect of the partial splenic artery embolism in idiopathic thrombocytopenic purpura

Objective:To evaluate the clinical effect of the partial splenic artery embolism in idiopathic thrombocytopenic purpura(ITP). Methods:Twenty-one patients who were diagnosed as ITP were done by selective splenic artery embolism in digital subtraction angiography. Results:All of their platelet began to rise on the postoperative third day and reached the top during the seventh to fourteenth day.The total effective rate accounted for 85.7%.The platelet count difference was significant before and after treatment(P<0.01). Conclusion:It is showed that partial splenic artery embolism therapy is significant to ITP. Its complication is few. So it is worthy to be popularized.