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腹腔镜下脾切除治疗特发性血小板减少性紫癜（附15例分析）
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【口腔西医学论文】【摘要】 目的 探讨腹腔镜下脾切除术治疗特发性血小板减少性紫癜(ＩＴＰ)的安全性及临床疗效。方法对15例行腹腔镜脾切除术的ＩＴＰ病人的临床资料进行回顾性分析。结果 13例成功地进行了经腹腔镜脾切除术,手术时间120～240 min,平均160 min;出血量10～200 mL,平均70 mL。2例中转开腹。平均住院时间6 d。结论 腹腔镜脾切除术治疗ＩＴＰ创伤小,且临床疗效显著。
【关键词】 紫癜 血小板减少性 特发性 脾切除术 腹腔镜检查
［ABSTRACT］ Objective To evaluate the safety and efficacy of laparoscopic splenectomy (LS) for idiopathic thrombocytopenic purpura (ITP). Methods Clinical data of 15 ITP patients undergoing LS were analyzed retrospectively. Results Of the 15 patients, 13 were successfully done, and the other two reversed to open surgery. The operation time (mean) was 120-240 min (160 min). Blood loss (mean) was 10－200 mL (70 mL). The average hospital stay was six days. Conclusion Laparoscopic splenectomy is effective with minimal invasion in the treatment of ITP.
［KEY WORDS］ Purpura, thrombocytopenic, idiopathic; Splenectomy; Laparoscopy
特发性血小板减
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