脾栓塞治疗免疫性血小板减少性紫癜

Splenic Embolization in the Treatment of Immune Thrombocytopenic Purpura

采用脾栓塞术治疗13例免疫性血小板减少性紫癜,其中9例于一次或二次脾栓塞后7～22天血小板升至106×10~9/L～295×10~9/L(平均207×10~9/L)。1例伊文斯综合征患者溶血得到改善。本组病例近期有效率69.2%,与手术切脾疗效相近,无严重并发症发生。

Splenic embolization was performed to treat 13 cases with immunethrombocytopenic purpura. In 7 to 22 days after the first or second embolization theblood platelet rose averagely to 207×10~9/L, ranging from 106×10~9/L to 295×10~9/Lin 9 cases. Hemolysis was also controlled in 1 case with Evans' syndrome. The recentremission rate(69.2%) in this group was similar to that achieved by splenectomy. Nosevere complication occurred.