| 妇科手术后下肢静脉血栓形成20例临床分析 |
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| 引用本文： | 毛冬凤.妇科手术后下肢静脉血栓形成20例临床分析[J].中国基层医药,2010,17(16):2234-2235. |
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| 作者姓名： | 毛冬凤 |
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| 作者单位： | 慈溪市第三人民医院妇产科,浙江省慈溪,315324 |
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| 摘 要： | 目的 观察妇科手术后下肢静脉血栓形成的原因及预防. 方法 回顾性分析20例妇科手术后下肢静脉血栓形成患者的临床资料. 结果 手术时间与下肢静脉血栓发生的关系：＜2 h 3例（15%）,2～3 h 5例（25%）,＞3 h 12例（60%）;手术方式：经腹子宫切除术1 746例,并发下肢静脉血栓形成4例（0.23%）;阴式子宫切除术984例,并发下肢静脉血栓形成9例（0.91%）;子宫广泛切除加盆腔淋巴清扫和卵巢癌细胞减灭术108例,并发下肢静脉血栓形成5例（4.6%）;子宫肌瘤剔除术691例,并发下肢静脉血栓形成2例（0.29%）;＞50岁患者17例（85%）,≤5岁3例（15%）;全部治愈出院. 结论 围术期加强术后下肢静脉形成的预防措施,规范化治疗可显著改善预后.
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| 关 键 词： | 妇科外科手术 下肢深静脉血栓形成 |
Clinical analysis of 20 cases with lower extremity deep venous thrombosis after gynaecological surgery |
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| MAO Dong-feng.Clinical analysis of 20 cases with lower extremity deep venous thrombosis after gynaecological surgery[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(16):2234-2235. |
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| Authors: | MAO Dong-feng |
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| Institution: | MAO Dong-feng.( Department of Obstetrics and Cynecology, The Third People＇s Hospital of Cixi, Cixi, Zhejiang 315324, China) |
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| Abstract: | Objective To explore the causes,risk factors,diagnosis and control methods of LEDVT after gynaecological surgery. Methods The clinical data of 20 inpatients with LEDVT after gynaecological surgery were analyzed retrospectively. Results The LEDVT distribution related to the factors:1.operation time:<2 h 3cases (15%),2 ～3 h 5cases(25%),＞ 3h 12 cases(60%);2.operation manners:TAH 0.23%(4/1746);TVH 0.91%(9/984);RH and ovarian cytoreductive surgery 4.6%(5/106); Myomectomy 0.29%(2/691);patient age:85% for ＞ 50 years; 15% for ≤50 years.All the 20 patients were cured by means of positive treatment of thrombolysis and anticoagulation. Conclusion The patients who had the risk factors of LEDVT should strengthen the prevention and control cases actively,the standardized management could improve their prognosis significantly. |
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| Keywords: | Gynaecological surgical procedures Lower extremity deep venous thrombosis |
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