妇科盆腔手术后深静脉血栓形成11例分析

目的:探讨妇科盆腔手术后并发下肢深静脉血栓(DVT)的诊断治疗及预防措施。方法:回顾性分析我院11例妇科DVT患者的临床特点及诊断、治疗的方法。结果:临床诊断DVT的首选方法为血管多普勒超声。全部病例确诊后即进行抗凝治疗,症状均明显改善,无肺栓塞发生。结论:老年、膀胱截石位、手术时间长、妇科恶性肿瘤患者是下肢深静脉血栓形成的高危人群;术前纠正贫血、术中操作精细、术后鼓励患者早期下床活动是预防深静脉形成的主要方法;早期诊断、及时进行抗凝治疗对DVT有较好疗效。

Analysis of 11 Cases of Deep Vein Thrombosis Following Gynecologic Pelvic Operation

Objective:To investigate the diagnosis, treatment and prevention of deep venous thrombosis (DVT) following gynecologic pelvic operation. Methods: The clinical characteristics, and the methods of diagnosis and treatment of 11 patients with DVT were analyzed retrospectively. Results: Color Doppler flow imaging was the primary method for the diagnosis of DVT. All patients underwent immediately anticoagulation after final diagnosis. Apparent symptoms were relieved in all cases and no pulmonary thrombosis occurred. Conclusion: Old age, lithotomy position, long operation, and malignant tumor were considered as high risks for DVT. Treating anemia preoperatively, elaborately operating intraoperatively and early movement after operation are key factors to prevent DVT. It is effective for the patients with DVT to undergo anticoagulation immediately after diagnosis.