儿童自体脾组织移植40例疗效观察

Efficacy of splenic auto-transplantation in 40 children

目的 探讨儿童自体脾组织移植的疗效和临床意义。方法 ４０ 例儿童外伤性脾破裂脾切除后行自体脾组织片移植在大网膜，随访１ ～６ａ。结果 ３７ 例术后第５ｗｋ，患儿血小板和ＩｇＡ、ＩｇＧ、ＩｇＭ恢复正常（９２ ．５％ ） 。３ 例血小板高于正常（７ ．５ ％） 。２５ 例行放射性核素９９ｍ Ｔｃ 扫描，可见浓密的移植脾片影。结论 儿童自体脾组织片移植成为外伤性脾破裂脾切除术后保持脾脏功能的一种安全有效的方法。

Objective To evaluate the efficacy of splenic anto-transplantation after splenectomy in children.Methods 40 cases of splenectomy owing to spleen hurted had been done with splenic autotransplantation in children and parts of them were followed-up for 12～72 months.Results At the fifth week after splenectomy,both pletlet count and immunoglobulin AG and M in 37 patients were normal(92.5%) and plat count in 3 patients was high(75%).25 patients who had splenic auto-transplantation were positive by 99m Tc photography.Conclusion Splenic autotransplantation may be a safe and reliable method for patients with splenectomy in protecting splenic function.