Pawelski S, Konopka L, Zdziechowska H
Blut. 1981 Dec;43(6):355-60. doi: 10.1007/BF00320313.
The effects of splenectomy in the treatment of chronic idiopathic thrombocytopenic purpura (ITP) were analysed in 177 subjects (118 adults and 59 children) operated upon between two and 25 years earlier. In 145 patients, thrombocytopenia regressed immediately or within 2 months after the operation. Regression of thrombocytopenia later during follow up was observed in a further 14 cases. Recurrence of thrombocytopenia after good immediate result of splenectomy developed in 32 patients. In 13 cases the recurrence was transient but in the remaining 19 patients it was long-lasting. In these cases presence of accessory spleens was suggested by the absence of Howell-Jolly bodies in the peripheral blood smear and demonstrated by splenic scan in 16 cases, and confirmed in 13 out of 15 splenectomized patients. Resplenectomy caused in 12 patients permanent disappearance of thrombocytopenia.
对177例（118例成人和59例儿童）在2至25年前接受脾切除术的患者进行分析，以研究脾切除术治疗慢性特发性血小板减少性紫癜（ITP）的效果。145例患者术后血小板减少症立即或在2个月内消退。随访期间，另有14例患者血小板减少症随后消退。32例患者脾切除术后立即取得良好效果，但随后血小板减少症复发。其中13例复发为短暂性，但其余19例为持续性。在这些病例中，外周血涂片无豪-焦小体提示存在副脾，16例经脾扫描证实，15例脾切除患者中有13例得到证实。再次脾切除术使12例患者的血小板减少症永久消失。
