腹腔镜胆囊切除术后下肢深静脉血栓15例分析

Venous Thrombosis of the :Ower Limbs Following Laparoscopic Cholecystectomy: With an Analysis of 15 Cases

目的：探讨腹腔镜术后下肢静脉血栓发生的原因和预防措施。方法：回顾分析2005年11月～2008年11月15例腹腔镜胆囊切除术后下肢静脉血栓患者的临床资料。结果：手术时间34～90 min,15例下肢深静脉血栓治疗2～3周全部治愈。结论：腹腔镜胆囊切除术后下肢静脉血栓的发生与患者高危因素、CO2气腹、体位等密切相关,在围手术期应积极采取措施予以预防。

Objective： To evaluate the etiology and prevention of deep venous thrombosis（DVT） of the lower limbs following laparoscopic eholeeystectomy. Methods： A retrospective analysis on elinieal data of 15 eases of DVT following laparoscopic eholecystectomy from November 2005 to November 2008 was carried out. Results： The operation time was 34--90 min. Fifteen eases of DVT, an anticoagulation therapywas employed for 14-21 d showed no recurrence. Conclusions：The development of DVT of the lower limbs following laparoseopic cholecystectomy is correlated to patients high - risk factors, carbon dioxied pnemoperitoneum, and position. Emphasis should be on active countemeasures during peri - operative period.