CAJ | 학술논문

目的对可能造成膝关节置换术后下肢深静脉血栓形成的因素进行探讨和分析。方法根据我院2012年7月～2013年7月收治的124例膝关节置换术后发生下肢深静脉血栓情况的形成因素进行分析。利用彩超检查技术观察患者术后一周内深静脉动态情况，对各项可能影响因素进行记录。结果在全部124例膝关节置换术患者中，术后发生下肢深静脉血栓的患者有33例，占26.6%，未发生的患者有91例，占73.3%。60～70年龄段的患者、肥胖指数越高的患者以及女性患者，术后发生下肢深静脉血栓的可能性更大，组间比较差异有统计学意义（P<0.05）。结论膝关节置换术后发生下肢深静脉血栓的患者中，女性比例高于男性，其中肥胖者、高龄患者更容易在术后发生下肢深静脉血栓。
목적대가능조성슬관절치환술후하지심정맥혈전형성적인소진행탐토화분석。방법근거아원2012년7월～2013년7월수치적124례슬관절치환술후발생하지심정맥혈전정황적형성인소진행분석。이용채초검사기술관찰환자술후일주내심정맥동태정황，대각항가능영향인소진행기록。결과재전부124례슬관절치환술환자중，술후발생하지심정맥혈전적환자유33례，점26.6%，미발생적환자유91례，점73.3%。60～70년령단적환자、비반지수월고적환자이급녀성환자，술후발생하지심정맥혈전적가능성경대，조간비교차이유통계학의의（P<0.05）。결론슬관절치환술후발생하지심정맥혈전적환자중，녀성비례고우남성，기중비반자、고령환자경용역재술후발생하지심정맥혈전。
Objective To discuss and analyze the possible factors of lower extremity deep venous thrombosis after total knee arthroplasty. Methods A total of 124 cases with deep venous thrombosis of lower extremity who were given knee arthroplasty in our hospital from July 2012 to July 2013 were analyzed. Then observed the dynamics situation of deep vein used by the ultrasound technology within one week after operation,and recorded the possible factors. Results Al the 124 cases of knee arthroplasty,33 postoperative patients had with deep venous thrombosis of lower extremity, accounted for 26.6%. The patients did not occur in 91 cases,accounting for 73.3%. The possibility of deep venous thrombosis after operation was higher in 60 ~ 70 age patients,higher BMI patients,and female patients.The difference between groups was significant,and had statistical significance(P<0.05). Conclusion According to the results of this research shows that the proportion of women is higher than men in the occurrence of lower extremity deep venous thrombosis after total knee arthroplasty,obesity and elderly patients are more likely to occur in deep venous thrombosis of lower extremity after operation.