足踝术后静脉血栓栓塞症的研究进展

Research Progress Thromboembolism after Foot and Ankle Surgery

静脉血栓栓塞症(VTE)在骨科术后有很高的致残率,严重时甚至会导致患者死亡。目前医学界多建议在骨科大手术后运用药物方式预防VTE,但与之形成鲜明对比的是,几乎没有人建议在足踝术后进行VTE的预防。虽然足踝术后VTE的发生率相对较低,但是一旦发生就会导致严重的后遗症,甚至死亡。对于骨科医师来说如何判断患者罹患VTE的风险,并针对患者不同的风险程度制定相应的预防策略是非常重要的。

Venous thromboembolism （VTE） in orthopedic surgery has a high morbidity, and could even lead to death. The majority of the literature supports proper medication prophylaxis following major orthopedic surgery. Foot and ankle surgery, however,is starkly contrasted because of the lack of recommendations. However, even with a documented low incidence of postoperative VTE, an occurrence can lead to significant patient morbidity or even mortality. Once identified, careful risk assessment must be clone and proper prophylaxis should be implemented after a thorough discussion with the patient.