脾动脉部分栓塞治疗难治性特发性血小板减少性紫癜疗效观察

目的:探讨脾动脉部分栓塞治疗难治性特发性血小板减少性紫癜疗效。方法:对21例难治性特发性血小板减少性紫癜进行脾动脉部分栓塞治疗,分别在术前、术后1d、7d、14d检测血小板抗体、血小板计数、红细胞计数、白细胞计数的变化,并对疗效进行6～48个月随访。结果:短、中、远期有效率分别达100%、85.7%、76.2%。结论:脾动脉部分栓塞治疗难治性特发性血小板减少性紫癜疗效好,副作用少,值得临床推广。

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.Methods:21 patients who were diagnosed as ITP were done by selective splenic artery embolism.The changes of platelet antibody,platelet count,red-cell count and leukocyte count were detected before and one day,seven days,fourteen days after operation respectively.The long term follow up was continued for 6 to 48 months.Results:In short,efficient,long term efective rate accounted for 100%、85.7%、76.2%.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.