特发性血小板减少性紫癜部分脾动脉栓塞术的临床疗效分析

Evaluation of the clinical effect of the partial splenic artery embolism in idiopathic thrombocytopenic purpura

目的：探讨部分脾动脉栓塞术治疗特发性血小板减少性紫癜的临床疗效。方法：对21例特发性血小板减少性紫癜患者在数字减影血管造影（digital subtraction angiography,DSA）下行超选择性脾动脉栓塞术治疗。结果：21例患者均于术后3天血小板开始上升,7-14天达高峰,总有效率85.7%,术前、术后血小板计数差异有显著性（P〈0.01）。结论：部分脾动脉栓塞术治疗特发性血小板减少性紫癜疗效明显,并发症少,值得推广。

Objective：To evaluate the clinical effect of the partial splenic artery embolism in idiopathic thrombocytopenic purpura（ITP）. Methods：Twenty-one patients who were diagnosed as ITP were done by selective splenic artery embolism in digital subtraction angiography. Results：All of their platelet began to rise on the postoperative third day and reached the top during the seventh to fourteenth day.The total effective rate accounted for 85.7%.The platelet count difference was significant before and after treatment（P〈0.01）. Conclusion：It is showed that partial splenic artery embolism therapy is significant to ITP. Its complication is few. So it is worthy to be popularized.