免疫性血小板减少性紫癜(ITP)脾切术临床疗效探讨

Objective To explore the different types of immune thrombocytopenic purpura after splenectomy in the treatment of clinical efficacy, and laparoscopic splenectomy complications. Methods 32 patients with immune thrombocytopenic purpura treated with splenectomy, and then follow splenectomy Evaluation of efficacy criteria. Results 32 patients with immune thrombocytopenic purpura treated by splenectomy after treatment: The total efficacy of 46.9% better in 15 cases, good in 8 cases accounted for 25.0%, accounting for 18.8% of the general 6 cases,3 cases accounted for 9.4%. Among them, hormone invalid type well and good efficacy accounted for a total of eight cases of their own 80% of patients,while the hormone-dependent efficacy well and good in 15 cases accounted for 68.2% of patients themselves. Conclusion Laparoscopic splenectomy is the treatment of steroid-dependent and hormone-based ITP invalid effective method, with a lower incidence of surgical complications and surgical risks of small-and so on.