CAJ | 학술논문

　　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的可行性及临床疗效。方法将收治的36例特发性血小板减少性紫癜患者随机分为观察组和对照组，每组各18例。观察组采用腹腔镜下脾切除术治疗，对照组采用开腹脾切除术，比较两组患者的临床治疗效果。结果观察组手术时间比对照组明显延长，但术中出血量、术后胃肠蠕动恢复时间和住院时间明显低于对照组，观察组临床疗效明显优于对照组，两组比较，差异有统计学意义(P＜0.05)。结论腹腔镜下脾切除术治疗特发性血小板减少性紫癜安全可行，治疗效果明显优于传统开腹手术组，值得临床推广。
　　목적탐토복강경하비절제술치료특발성혈소판감소성자전적가행성급림상료효。방법장수치적36례특발성혈소판감소성자전환자수궤분위관찰조화대조조，매조각18례。관찰조채용복강경하비절제술치료，대조조채용개복비절제술，비교량조환자적림상치료효과。결과관찰조수술시간비대조조명현연장，단술중출혈량、술후위장연동회복시간화주원시간명현저우대조조，관찰조림상료효명현우우대조조，량조비교，차이유통계학의의(P＜0.05)。결론복강경하비절제술치료특발성혈소판감소성자전안전가행，치료효과명현우우전통개복수술조，치득림상추엄。
Objective To investigate the feasibility and clinical efifcacy of Laparoscopic Splenectomy treatment Idiopathic Thrombocytopenic Purpura. Methods 36 patients in our hospital were randomly divided into observation group and control group 18 cases, observation group treated with laparoscopic splenectomy, control group adopts open splenectomy, compared two groups of patients with the clinical therapeutic effect. Results Observation group than the control group signiifcantly extended the operative time, intraoperative blood loss, postoperative gastrointestinal peristalsis recovery time and hospitalization time is significantly lower than the control group, the clinical curative effect of observation group was obviously superior to the control group, two groups of comparisons difference was statistically signiifcant (P<0.05). Conclusion Laparoscopic splenectomy safety is feasible in the treatment of idiopathic thrombocytopenic purpura, curative effect is superior to traditional open surgery group, worth clinical promotion.