CAJ | 학술논문

目的：分析与探究由妇科手术造成的静脉血栓性疾病（VTE）的发病率、危险因素，从而找出快速合理的治疗途径。方法：选取本院2007年2月-2012年2月收治的36例VTE患者的临床资料，其中下肢静脉血栓（DTV）35例，肺栓塞（PE）1例，对其进行总结与研究。结果：进行妇科手术的患者患VTE的总几率约为0.27%，其中患恶性肿瘤的患者发生VTE的几率（1.59%）明显高于患良性疾病的患者（0.2%）；患卵巢癌的患者发生VTE的几率（3.43%）明显高于患宫颈癌与子宫内膜癌的患者（0.71%、0.74%）。患者患VTE的几率在通过盆腔淋巴结清扫后可见明显上升。DTV患者确诊方式为彩色多普勒超声检查，PE患者确诊方式为肺血管三维扫描。结论：患者经历妇科盆腔手术后发生VTE的几率较低，但近年来出现了增长的趋势；卵巢癌与盆腔淋巴结清扫术可增加VTE的发生几率；及时确诊与迅速的针对性治疗对VTE患者极为重要。
목적：분석여탐구유부과수술조성적정맥혈전성질병（VTE）적발병솔、위험인소，종이조출쾌속합리적치료도경。방법：선취본원2007년2월-2012년2월수치적36례VTE환자적림상자료，기중하지정맥혈전（DTV）35례，폐전새（PE）1례，대기진행총결여연구。결과：진행부과수술적환자환VTE적총궤솔약위0.27%，기중환악성종류적환자발생VTE적궤솔（1.59%）명현고우환량성질병적환자（0.2%）；환란소암적환자발생VTE적궤솔（3.43%）명현고우환궁경암여자궁내막암적환자（0.71%、0.74%）。환자환VTE적궤솔재통과분강림파결청소후가견명현상승。DTV환자학진방식위채색다보륵초성검사，PE환자학진방식위폐혈관삼유소묘。결론：환자경력부과분강수술후발생VTE적궤솔교저，단근년래출현료증장적추세；란소암여분강림파결청소술가증가VTE적발생궤솔；급시학진여신속적침대성치료대VTE환자겁위중요。
Objective:To analyze and explore gynecological operation caused by venous thrombotic disease(VTE)risk factors for morbidity, treatment,so as to find out the way of rapid and reasonable.Method:The clinical data of 36 patients with VTE were selected in our hospital from February 2007 to February 2012,including deep vein thrombosis(DTV)in 35 cases,pulmonary embolism(PE)in 1 case,summarized and researched on its. Result:The total rate of gynecological operation in patients suffering from VTE was about 0.27%,the incidence of VTE of malignant tumor patients(1.59%) was higher than the incidence of VTE of benign disease patients(0.02%).The incidence of VTE in patients with ovarian cancer(3.43%)was higher than the probability of patients with uterine cervical cancer endometrial cancer VTE(0.71%,0.74%).Probability of patients suffering from VTE in the pelvic lymph node dissection showed obvious rise.DTV patients diagnosed by color doppler ultrasound examination,PE patients diagnosed by pulmonary vascular 3D scanning.Conclusion:The incidence of VTE in patients after gynecological operation is low,but in recent years there has been increasing trend;ovarian carcinoma and pelvic lymphadenectomy can increase the probability of occurrence of VTE;early diagnosis and prompt treatment is very important for the patients with VTE.