CAJ | 학술논문

全髋关节置换术围术期下肢深静脉血流动力学研究
전관관절치환술위술기하지심정맥혈류동역학연구
Hemodynamics of deep vein in lower limb during perioperative period of total hip arthroplasty

万方数据

中华创伤杂志中華創傷雜誌 중화창상잡지
Chinese Journal of Traumatology
2009年 8期 713-716 ,共4页

朱刃%吴思旺%龚海英%陈贤中%朱轶%魏社军%张长青%樊静%柳咏%俞文俊%朱俊杰%钟金

주인%오사왕%공해영%진현중%주질%위사군%장장청%번정%류영%유문준%주준걸%종금

关节成形术%置换%髋%静脉栓塞形成%血流动力学过程關節成形術%置換%髖%靜脈栓塞形成%血流動力學過程
관절성형술%치환%관%정맥전새형성%혈류동역학과정
Arthreplasty,replacement,hip%Venom thrombosis%Hemodynamic processes

目的探讨全髋关节置换围术期下肢深静脉血流动力学改变及下肢深静脉栓塞(deep vein thrombosis,DVT)的早期诊断. 方法对62例初次全髋关节置换术患者进行围术期的多普勒超声检查、血液流变学检测和血浆D-二聚体检测,在发生DVT及无DVT间对相关结果进行统计学分析,以探讨DVT的早期诊断. 结果多普勒超声检查发现8例并发DVT,并发DVT组术后血浆D-二聚体浓度显著高于术前,也显著高于未并发DVT组(P<0.05),血液流变学各项指标检测显示术后7 d显著性增高(P<0.05). 结论多普勒超声检查结合血浆D-二聚体和血液流变学检测有利于早期诊断DVT.
목적 탐토전관관절치환위술기하지심정맥혈류동역학개변급하지심정맥전새(deep vein thrombosis,DVT)적조기진단. 방법 대62례초차전관관절치환술환자진행위술기적다보륵초성검사、혈액류변학검측화혈장D-이취체검측,재발생DVT급무DVT간대상관결과 진행통계학분석,이탐토DVT적조기진단. 결과 다보륵초성검사발현8례병발DVT,병발DVT조술후혈장D-이취체농도현저고우술전,야현저고우미병발DVT조(P<0.05),혈액류변학각항지표검측현시술후7 d현저성증고(P<0.05). 결론다보륵초성검사결합혈장D-이취체화혈액류변학검측유리우조기진단DVT.
Objective To investigate hemodynamic changes of deep vein in lower limb during the perioperative period of total hip arthroplasty (THA) and early diagnosis of deep vein thrombosis (DVT). Methods Doppler ultrasound, hemorheology detection and plasma D-dimer testing were done on 62 patients treated with THA. Statistical analysis was carried out on the data of patients with or without DVT to study the early diagnosis of DVT. Results The results of Doppler ultrasound showed DVT in 8 patients. Compared with postoperative concentration of plasma D-dimer, the preoperative con-centration of plasma D-dimer was significandy higher in patients with or without DVT (P < 0.05). The levels of hemorheological indices were significantly increased at postoperative day 7 (P < 0.05). Con-clusions Doppler ultrasound combined with plasma D-dimer testing and hemorheology detection are helpful in early diagnosis of DVT.