Splenectomy for the treatment of ideopathic thrombocytopenic purpura in 202 cases
- VernacularTitle:脾切除治疗特发性血小板减少性紫癜202例
- Author:
Wei CAO
;
Wanying ZHU
;
Jian WANG
;
Naiyuan XU
;
Lin ZHU
;
Yiren CHEN
- Publication Type:Journal Article
- Keywords:
Splenectomy;
Thrombocytopenia
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long term effectiveness of splenectomy in the treatment of ideopathic thrombocytopenic purpura (ITP) and probe into the specific management pre and post operatively. Method We analyzed 202 splenectomized ITP patients from January 1974 to June 2001 retrospectively and divided them into the effective and non effective groups according the postoperative improvement of their clinical symptoms. Results Post operative complications developed in 18 cases (8 9%), 189 cases achieved long term follow up. Good result was achieved in 159 cases including excellent in 96 and fair in 63, surgery was ineffective in 30 cases. Six cases(3 2%) died of surgery related complications during the long term follow up. In the first week after operation platelet counts reached 100?10 9/L in 118 cases, among them 110 cases(69 2%) fell into effective group and 8 cases(26 7%) fell into ineffective group( ? 2= 19 45, P
