腹腔镜术后下肢静脉血栓形成分析

目的：探讨腹腔镜术后下肢静脉血栓发生的原因和预防措施。方法：回顾分析2000年5月至2006年5月2 000余例各种腹腔镜术后出现的26例下肢静脉血栓患者的临床资料。结果：手术时间20-200min,15例下肢浅静脉血栓治疗5-7d后症状消失,复查彩色多普勒血栓消失,随访3-12个月无复发。11例髂—股及股深静脉、血栓,经抗凝治疗14-21d症状消失,随访12个月无复发。结论：腹腔镜术后下肢静脉血栓的发生与患者高危因素、CO2气腹、体位等密切相关,在围手术期应积极采取措施予以预防。

Venous thrombosis of the lower limbs following laparoscopic surgery:with an analysis of 26 cases

Objective:To evaluate the etiology and prevention of venous thrombosis(VT) of the lower limbs following laparoscopic surgery.Methods:A retrospective analysis on clinical data of 26 cases of VT following 2000 cases of laparoscopic surgery from May 2000 to May 2006 was carried out.Results:The operation time was 20-200min.Fifteen cases of superficial vein thrombosis,gone a treatment for 5-7d the symptoms vanished.Re-examinations of color doppler ultrasonography revealed disappearance of thrombosis.Follow-up for 3-12 months found no recurrence.In 11 cases of deep femoral vein thrombosis,an anticoagulation therapy was employed for 14-21d and a follow-up for 12 months showed no recurrence.Conclusions:The development of VT of the lower limbs following laparoscopic surgery is correlated to patients high-risk factors,carbon dioxied pnemoperitoneum,and position.Emphasis should be on active countemeasures during peri-operative period.