恶性肿瘤患者下肢深静脉血栓形成的机制及治疗措施探讨

Mechanism and treatment strategics of limb deep venous thrombosis in malignant tumor patients

目的探讨恶性肿瘤患者下肢深静脉血栓（LDVT）的形成因素及防治措施。方法回顾性分析自2000-01～2006-06间收治的21例恶性肿瘤术后LDVT病人的相关资料。结果本组LDVT占同期深静脉血栓形成的5.4%（21/392）,左侧13例,右侧8例,经治疗后都有所好转。结论术后深静脉血栓形成病因是多因素的,早期诊断和及时处理是改善预后的关键,强调预防的重要性。

Objective To study the pathogenetic mechanisms and treatment of malignant tumor complicated by limb deep venous thrombosis （LDVT）. Methods The data of 21 patients with LDVT after operations for malignant tumor from January 2000 to June 2006 were collected and analyzed retrospectively. Results The pa- tients with LDVT were 5.4 % （21/392）of overall deep venous thrombosis of the same period. The left leg was involved in 13 of the patients, and right leg in 8 cases. After the treatment, patients＇ condition were improved in some extent. Conclusion The causes of LDVT are various. The early diagnosis and therapy in time is the key to improve prognosis. The importance of prevention of LDVT after operation for rectal cancer should always be emphasized.