妇科腹腔镜术后下肢深静脉血栓形成探讨

Gynecological Laparoscopic Postoperative Deep Venous Thrombosis Formation to Investigate

目的观察并探讨妇科腹腔镜术后下肢深静脉血栓形成(deep venous thrombosis,DVT)的高危因素及预防措施。方法选择我院妇科自2009年1月至2010年6月收治的159例行腹腔镜手术患者,根据随机的原则,将患者分为观察组53例,与对照组①52例、对照组②54例,观察并分析三组患者腹腔镜术后DVT发生情况及诱发因素。结果观察组2例患者并发DVT,对照组①并发3例,对照组②并发9例,观察组、对照组①患者发病率与对照组②患者发病率对比,结果具有显著性差异(P<0.05);14例并发DVT患者中左下肢深静脉血栓9例,右下肢深静脉血栓5例。无明显肺栓塞症状出现。经给予相应治疗后痊愈出院,出院后15d、1个月和3个月复查,全部患者病情无恶化、无复发。结论对于术前合并有高血压、糖尿病、高血脂等血液高凝状态患者,要注意其术后并发DVT症状;采取有效的措施,如脉冲气压治疗仪、应用低分子肝素等预防措施,可有效降低DVT的发生率。

Objective To observe and investigate gynecological laparoscopie postoperative deep venous thrombosis risk factors and preventive measures. Methods Hospital gynecology from January 2009 to June 2010 were 159 patients undergoing laparoscopie surgery, based on the principle of random, were divided into 53 cases of the observation group and control group ~52 cases of controlgroup54 cases, observation and analysis of the three groups of patients after laparoscopic surgery DVT and predisposing factors.Results The observation group 2 patients with concurrent DVT and concurrent control group Othree cases, the control group@ concurrent nine eases, the observation group and control group ~the incidence of patients with the control group ~patients the incidence of contrast,results were significant differences （P〈0.05）; 14cases of concurrent DVT of the left lower extremity deep venous thrombosis in 9 cases, right lower extremity deep venous thrombosis of 5 cases. No obvious pulmonary embolism symptoms appear. Were discharged after given the appropriate treatment, 15 days after discharge, 1 month and 3 months later, all the patient＇s condition deteriorated and no recurrence. Conclusions For preoperative patients with hypertension, diabetes, high cholesterol and other hypereoagulable states, pay attention to the postoperative complication of DVT symptoms; to take effective measures, such as pulse pressure treatment device, the low molecular weight heparin and other preventive measures,effectively reduce the incidence of DVT.