腹腔镜在地中海贫血微创脾切除术中的应用

Laparoscopic splenectomy in the patients with thalassemia

目的探讨腹腔镜在地中海贫血微创脾切除术中的应用。方法应用腹腔镜对中间型α地贫(HbH病)13例,重型β地贫3例,β地贫+异常HbEl例共17例进行微创脾切除术,占同期地贫脾切除术的28.33%。结果均取得较好的手术效果。结论与传统脾切除手术比较,腹腔镜微创脾切除术创口小,损伤轻,出血少,恢复快,住院时间短。

Objective To investigate the application of laparoscopic splenectomy in the patients with thalassemia. Methods 17 cases patients were performed, involving 13 cases of α thalassemia medium （ HbH disease）, 3 cases of β thalassemia major, 1 case of β thalassemia and HbE. Result Laparoscopic splenectomy satisfactory results were obtained in 17 cases. Conclution Laparoscopic splenectomy in the patients with thalassemia is safe and effective, with advantages of minimal invasion, few blood loss, and quick revovery.