部分脾栓塞术治疗原发性血小板减少性紫癜临床分析

Clinical Analysis of Partial Splenic Embolization to Therapy Idiopathic Therombocytopenic Purpura

目的 :观察部分脾栓塞术治疗难治性原发性原发性血小板减少性癜的疗效。方法 :在局麻下采用Seldoger法行部分栓塞术破坏 9例难治性原发性血小板减少性紫癜病人的脾功能 ,术后予糖皮质激素 +免役抑制剂治疗 ,并逐渐减量停药。结果 :7例病人完全缓解 ,2例病人好转。结论 :部分脾栓塞术治疗难治性原发性血小板减少性紫癜术后仍需支持应用糖皮质激素 +免疫抑制剂治疗。

objective: to observe the efficacy of pari tia l splenic embolization in the treatment of refractory idiopathic thrombocytopeni c purpura. Methods: 9 patients underwent partial splenic embo l ization by Seldoger method under local anaesthesia to impair the spleen function . Corticosteroids and immunal suppressant were used immediately after the operat ion and the dosages were gradually lowered before stop. Results: 7 cases acquired complete remission and 2 improved. Results: C orticosteroids and immunal suppressant should be used after the parial splenic e mbolization.