妇科肿瘤术后合并静脉血栓临床分析

Clinical analysis of venous thrombus after gynecologic tumor surgery

目的:探讨妇科患者妇科肿瘤手术(GTS)术后下肢深静脉血栓(DVT)的危险因素与治疗方法。方法:选取收治的124例GTS患者作为观察对象,按随机数字表法分为观察组(63例)和对照组(61例),观察组给予DVT干预措施,对照组给予常规治疗和护理,对2组患者病理数据进行组间统计分析。结果:采用干预措施的63例观察组患者中,DVT术后血栓8(12.7%)例,其中I级血栓7(11.11%)例,II级血栓1(1.59%)例,III级血栓0(0.00%)例,与对照组比较差异有统计学意义(P<0.05)。肥胖和糖尿病、心脑血管疾病、开腹术、腹腔镜术、放疗、介入化疗、静脉化疗、静脉置管以及输血均为GTS术后DVT易发高发的危险性因素。结论:DVT是GTS术后易发高发的并发症,GTS术后应重点关注各DVT高危因素,进行有针对性的干预措施,以降低DVT发病率,改善患者预后。

Objective： To investigate the characteristics of venous thrombus after gynecologic tumor surgery （GTS）.Methods： A total of 124 patients were taken into this research and were randomly divided into an observation group （63 patients） and a control group （61 patients）.Patients of the observation group were treated with intervening measures after the end of the operation while those of the control group were treated with routine measures.Statistics of the treatment in the two groups were collected and analyzed after the research.Results： In the 63 patients of the observation group,there were 8 （12.7%） thrombus cases （χ~2= 9.042,P = 0.008）,including7 （11.11%） Level I thrombus case （χ~2= 8.964,P = 0.016）,1 （1.59%） Level II thrombus case （χ~2= 8.716,P = 0.021）,and 0 （0.00%） Level III thrombus case （χ~2= 9.012,P = 0.012）,which was significantly better than the control group （P 0.05）.Obesity,diabetes mellitus,cardiovascular and cerebrovascular diseases,open abdomen operation,laparoscopy,radiotherapy,interventional chemotherapy,intravenous chemotherapy,vein cannulation and transfusion were risk factors of deep venous thrombosis （DVT） after GTS.Conclusion： There was a high incidence of DVT after GTS.Close attention should be paid to every risk factor of DVT to reduce the disease incidence and improve the prognosis.