腹腔镜下脾血管结扎术治疗儿童遗传性球形红细胞增多症

Q4 Medicine

中华小儿外科杂志 Pub Date : 2020-02-15 DOI:10.3760/CMA.J.ISSN.0253-3006.2020.02.010

Jinshan Zhang, Long Li

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引用次数: 0

摘要

目的探讨腹腔镜下脾血管结扎术治疗儿童遗传性球形红细胞增多症的有效性和可行性。方法2015年5月至2018年4月对17例遗传性球形红细胞增多症患儿行腹腔镜脾血管结扎术。平均随访19.8(3 ~ 38)个月。术前、术后采用AW volueshare5测量脾脏体积。结果所有患者均成功完成腹腔镜脾血管结扎。平均手术时间为115(60-180)分钟，术中无输血，平均住院时间为7(5-9)天。术后红细胞、血小板、血红蛋白明显增高(P 1年，P=0.004)。脾梗死指数平均为0.53(0.31 ~ 0.99)。术后未输血。结论腹腔镜脾血管结扎术治疗儿童遗传性球形红细胞增多症疗效确切。但远期预后需在今后的研究中重新评估。关键词:腹腔镜;脾血管结扎术;孩子;遗传性球形红细胞症

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Laparoscopic ligation of splenic vessels for hereditary spherocytosis in children

Objective To explore the effectiveness and feasibility of laparoscopic ligation of splenic vessels for hereditary spherocytosis in children. Methods From May 2015 to April 2018, seventeen children with hereditary spherocytosis underwent laparoscopic ligation of splenic vessels.The mean follow-up period was 19.8(3-38) months.The volume of spleen was measured by AW VolumeShare5 preoperatively and postoperatively. Results Laparoscopic ligation of splenic vessels was successfully performed in all patients.The average operative duration was 115(60-180) min.No intraoperative blood transfusion was offered and the mean length of hospitalization was 7(5-9) days.Red blood cell, platelet and hemoglobin significantly increased postoperatively (P 1 year (P=0.004). The mean index of splenic infarction was 0.53(0.31-0.99). No postoperative blood transfusion was offered. Conclusions Laparoscopic ligation of splenic vessels is effective for hereditary spherocytosis in children.However, the long-term prognosis shall be re-evaluated in future study. Key words: Laparoscopes; Ligation of splenic vessels; Child; Hereditary spherocytosis

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来源期刊

中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

8707

期刊介绍： Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.