踝部骨折与深静脉血栓的相关研究进展

Research of Correlation between Deep Vein Thrombosis and Ankle Fractures

深静脉血栓(DVT为骨折及其术后严重并发症,踝部骨折发生率为200/10万,占全身骨折的3.9%为最常见的关节内骨折。本文汇总分析国内外踝部骨折DVT发生与治疗的相关文献,就踝部骨折与DVT的相关性及常规预防血栓治疗方法进行综述,研究踝部骨折后DVT发生的概率及预防血栓治疗的必要性,得出踝部骨折DVT发生率较低,预防血栓治疗无常规应用抗凝药物必要,但当存在诱发血栓的高危因素时,DVT发生率增高,应予以规范抗凝防栓治疗的结论。

Deep vein thrombosis （DVT） is a serious complication of fractures. The incidence of ankle fracture which occurs most frequently intra-articular is 200/100 000, about 3.9%of all fractures. Domestic and foreign reports of ankle fractures and DVT were allocated and analyzed to review their correlation. Furthermore, different methods of rou-tined thromboprophylaxis was discussed. DVT incident after ankle fractures and the necessity of routined thromboprophy-laxis were reviewed. DVT incidence after ankle fractures was low and routine thromboprophylaxis was not necessary to all ankle fracture patients except the ones who had risk factors of thrombosis which could induce DVT.