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部分脾栓塞治疗难治性特发性血小板减少性紫癜16例临床观察

路萍 宫喜翔 王永志 朱桂华

昆明医学院学报2012,Vol.33Issue(5):131-134,4.
昆明医学院学报2012,Vol.33Issue(5):131-134,4.

部分脾栓塞治疗难治性特发性血小板减少性紫癜16例临床观察

Clinical Observation of Partial Splenic Embolization for 16 Patients with Refractory Idiopathic Thrombocytopenic Purpure

路萍 1宫喜翔 1王永志 1朱桂华1

作者信息

  • 1. 玉溪市人民医院血液风湿科,云南,玉溪,653100
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摘要

Abstract

Objective To observe the clinical effect of partial plenic embolization (PSE) for refractory idiopathic thrombocytopenic purpure (RITP). Method 16 patients with RITP received PSE after failure of internal medicine theray, then the effects of PSE were evaluated. Results The number of blood platlets was improved significantly after operation in all cases, the short- period effective rate of PSE was 100% , the short- term effective rate was 87.6% and the long-term effective rate was 75.0% . Conclusions PSE has similar effects to resection of the spleen, at the same time, PSE reserves a part of spleen and spleen's immunity function, its curative effects show no significant differences with splenectomy. It is a safe and simple method to treat RITP.

关键词

难治性特发性血小板减少性紫癜/部分性脾栓塞/治疗

Key words

Refractory idiopathic thrombocytopenic purpure/ Partial splenic embolization/ Treatment

分类

临床医学

引用本文复制引用

路萍,宫喜翔,王永志,朱桂华..部分脾栓塞治疗难治性特发性血小板减少性紫癜16例临床观察[J].昆明医学院学报,2012,33(5):131-134,4.

昆明医学院学报

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