妇产科手术后下肢血栓性静脉炎27例临床分析

Clinical Analysis on 27 Cases of Thrombophlebitis in Lower Limbs after Gynaecological and Obstetric Operations

目的 探讨妇产科手术后下肢血栓性静脉炎的病因和防治。方法 对1992—2002年收治的27例下肢血栓性静脉炎进行临床分析。结果 导致下肢血栓性静脉炎的形成,除与盆腔和下肢静脉的解剖特点、手术时应激反应及术中失血、失液等有关外,还与术后患者活动少、活动晚,止血剂的应用等有关。治疗主要包括抬高患肢,局部理疗,全身应用抗生素,抗凝,溶栓及手术取栓等。结论 术中注意患者体位的摆放,减少出血,缩短手术时间。术后早活动,腹带松紧适宜,减少止血剂应用,高凝患者适量给予抗凝剂等可减少血栓性静脉炎的发生。

Objective To discuss the cause, prevention and therapy of thrombophlebitis in the lower limbs after gynaecological and obstetric operations. Methods Clinical analysis on 27 cases of thrombophlebitis in the lower limbs during 1992 and 2002 was carried out. Results The formation of the disease was associated with little and late movement and the application of hemostatic, in addition to the anatomy of veins of pelvis and lower limbs, the stress and the loss of blood or fluid in the operation. The therapy involved in lifting up the ill limbs, local physical management, systematically application of antibiotics, aoticoaguiation, dissolving thrombi or removing them by operation. Conclusion During the gynaecological and obstetric operation, the posture of the patients should be stressed, as well as the effort to decrease the bleeding and operative time. It is suggested that patients should move about as early as possible. Additionally suhable abdominal belt and correct application of haemostatic and aoticoaguiation are recommended for the prevention of the condition.