妇科肿瘤术后下肢深静脉血栓形成危险因素及中西医结合治疗

Gynecologic Oncology After Deep Venous Thrombosis Risk Factors and Chinese and Western Integrative Medicine

目的：探讨妇科肿瘤术后下肢深静脉血栓（DVT）形成的危险因素及中西医结合治疗疗效观察。方法：回顾性分析16例妇科肿瘤患者术后下肢DVT的成因,同时西医采用尿激酶、川芎嗪等药物治疗及必要的手术治疗;中医服用脉痹汤加减（黄芪、当归、桃仁、地龙、丹参、茯苓、猪苓等）。结果：16例患者保守治疗12例,和手术联合抗凝溶栓治疗4例,治疗2~3周症状体征明显改善,复查彩超证实下肢静脉再通,无并发症发生。结论：妇科肿瘤术后合并DVT形成往往是综合因素,及早诊断,中西医结合治疗,可提高疗效。

Objective： To investigate the gynecological tumor＇deep venous thrombosis （DVT）risk factors and the formation of traditional Chinese and western medicine treatment observation. Methods： Retrospective analysis of 16 cases of hospital patients with gynecologic tumors of the causes of lower extremity DVT, the use of uroki.nase at the same time west.ern medicine, such as drug treatment and ligustrazine necessary surgery; taking the pulse of TCM decoction （astragalus, angelica, peach kernel, earthworm, radices salviae miltiorrhizae, uckahoe, grifola, etc.）. Results： 16 cases of patients with 12 cases Of conservative treatment and surgery combined with thrombolytic therapy in iour cases oi anti-coagulation, treatment 2 to 3 weeks significantly improved signs and symptoms, review of color Doppler ultrasound confirmed venous recanalization and no co m.plic.ations occurred. Conclusion： Gynecologic onco.logy DyT formation aft erthe merger is often a combination of factors, early diagnosis, treatment of traditional Chinese and western medicine can improve the curative effect.