中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
16期
2234-2235
,共2页
妇科外科手术%下肢深静脉血栓形成
婦科外科手術%下肢深靜脈血栓形成
부과외과수술%하지심정맥혈전형성
Gynaecological surgical procedures%Lower extremity deep venous thrombosis
目的 观察妇科手术后下肢静脉血栓形成的原因及预防. 方法 回顾性分析20例妇科手术后下肢静脉血栓形成患者的临床资料. 结果 手术时间与下肢静脉血栓发生的关系:＜2 h 3例(15%),2～3 h 5例(25%),＞3 h 12例(60%);手术方式:经腹子宫切除术1 746例,并发下肢静脉血栓形成4例(0.23%);阴式子宫切除术984例,并发下肢静脉血栓形成9例(0.91%);子宫广泛切除加盆腔淋巴清扫和卵巢癌细胞减灭术108例,并发下肢静脉血栓形成5例(4.6%);子宫肌瘤剔除术691例,并发下肢静脉血栓形成2例(0.29%);＞50岁患者17例(85%),≤5岁3例(15%);全部治愈出院. 结论 围术期加强术后下肢静脉形成的预防措施,规范化治疗可显著改善预后.
目的 觀察婦科手術後下肢靜脈血栓形成的原因及預防. 方法 迴顧性分析20例婦科手術後下肢靜脈血栓形成患者的臨床資料. 結果 手術時間與下肢靜脈血栓髮生的關繫:＜2 h 3例(15%),2～3 h 5例(25%),＞3 h 12例(60%);手術方式:經腹子宮切除術1 746例,併髮下肢靜脈血栓形成4例(0.23%);陰式子宮切除術984例,併髮下肢靜脈血栓形成9例(0.91%);子宮廣汎切除加盆腔淋巴清掃和卵巢癌細胞減滅術108例,併髮下肢靜脈血栓形成5例(4.6%);子宮肌瘤剔除術691例,併髮下肢靜脈血栓形成2例(0.29%);＞50歲患者17例(85%),≤5歲3例(15%);全部治愈齣院. 結論 圍術期加彊術後下肢靜脈形成的預防措施,規範化治療可顯著改善預後.
목적 관찰부과수술후하지정맥혈전형성적원인급예방. 방법 회고성분석20례부과수술후하지정맥혈전형성환자적림상자료. 결과 수술시간여하지정맥혈전발생적관계:＜2 h 3례(15%),2～3 h 5례(25%),＞3 h 12례(60%);수술방식:경복자궁절제술1 746례,병발하지정맥혈전형성4례(0.23%);음식자궁절제술984례,병발하지정맥혈전형성9례(0.91%);자궁엄범절제가분강림파청소화란소암세포감멸술108례,병발하지정맥혈전형성5례(4.6%);자궁기류척제술691례,병발하지정맥혈전형성2례(0.29%);＞50세환자17례(85%),≤5세3례(15%);전부치유출원. 결론 위술기가강술후하지정맥형성적예방조시,규범화치료가현저개선예후.
Objective To explore the causes,risk factors,diagnosis and control methods of LEDVT after gynaecological surgery. Methods The clinical data of 20 inpatients with LEDVT after gynaecological surgery were analyzed retrospectively. Results The LEDVT distribution related to the factors:1.operation time:<2 h 3cases (15%),2 ～3 h 5cases(25%),＞ 3h 12 cases(60%);2.operation manners:TAH 0.23%(4/1746);TVH 0.91%(9/984);RH and ovarian cytoreductive surgery 4.6%(5/106); Myomectomy 0.29%(2/691);patient age:85% for ＞ 50 years; 15% for ≤50 years.All the 20 patients were cured by means of positive treatment of thrombolysis and anticoagulation. Conclusion The patients who had the risk factors of LEDVT should strengthen the prevention and control cases actively,the standardized management could improve their prognosis significantly.
