摘要
目的:探讨脾切除术治疗难治性特发性血小板减少性紫癜的治疗效果。方法:收治难治性特发性血小板减少性紫癜患者46例,给予脾切除术,观察治疗效果。结果:显效27例,良效10例,进步5例,无效3例,死亡1例,有效率80.4%。随访时间6~84个月,平均30个月。复发4例,复发率8.7%。本组死亡1例,死亡时间术后1年。结论:脾切除术对内科治疗无效的难治性特发性血小板减少性紫癜患者是一种安全有效的治疗方法。
Objective:To explore the treatment effect of splenectomy in the treatment of refractory idiopathic thrombocytopenia purpura.Methods:46 patients with refractory idiopathic thrombocytopenia purpura were selected.They were given splenectomy.The treatment effect was observed.Results:27 cases were excellent,10 cases were good effect,5 cases were progress,3 cases were invalid,1 case was death,the effective rate was 80.4%.The follow-up time was 6 to 84 months,the average was 30 months.4 cases were recurrence,the recurrence rate was 8.7%.1 case died in this group,the death time was one year after operation.Conclusion:For the refractory idiopathic thrombocytopenia purpura patients with invalid medical treatment,splenectomy is a safe and effective treatment method.
出处
《中国社区医师》
2015年第25期71-71,共2页
Chinese Community Doctors
