脊柱手术后深静脉血栓形成的危险因素及预防的研究进展

Advances in Risk Factors and Prevention of Deep Venous Thrombosis after Spine Surgery

深静脉血栓(DVT)形成是脊柱术后常见并发症之一。DVT患者不及时治疗可能会发展为静脉炎后综合征,若栓子脱落可造成肺栓塞,甚至可危及生命。因此,预防和治疗静脉血栓栓塞病在骨科脊柱围术期至关重要。近年来,脊柱手术量逐年增多,术后DVT时有发生。国内外关于脊柱术后DVT的危险因素及预防措施的研究越来越多,也取得了一定的成果。临床医师应熟悉脊柱术后DVT形成的危险因素,并根据不同的患者选择合适的预防方案。

Deep venous thrombosis(DVT) is one of the most common postoperative complications of spinal surgery. The patients with DVT may develop into the syndrome after phlebitis,and if the emboli cause pulmonary embolism,it can lead to the sudden death related to PE. Therefore,it is very important to prevent and treat the DVT in the orthopedic surgery during the perioperative period. There are more and more spinal surgeries going on year by year,and DVT have occurred from time to time. At home and abroad,more and more people are studying the risk factors and preventive measures of DVT after spinal surgery,and have gained some experience and achievements. Clinicians should be familiar with the risk factors of DVT,and choose appropriate prevention programs according to different patients’ specific conditions.