全髋关节置换术后深静脉栓塞发生的相关因素研究

目的探讨影响全髋关节置换术后深静脉栓塞发生的相关因素,为提高全髋关节置换术后深静脉栓塞的诊断与治疗提供参考。方法选自我院2005年6月至2010年3月进行的全髋关节置换术患者共151例(151髋),根据患者术后有无并发深静脉血栓将患者分为血栓组及非血栓组。对两组患者性别、年龄、BMI、合并症、术前服用糖皮质激素、甘油三酯(TG)、CHOL、患髋既往手术、术中输血、术中出血总量、血红蛋白、白蛋白、骨水泥的使用、尿管留置时间、手术持续时间、抗生素使用时间、手术前后Harris评分等资料进行收集,对结果进行统计学对比。结果两组患者术前资料对比发现:血栓组患者年龄、性别以及TG与非血栓组对比有统计学差别,P<0.05。两组患者术中、术后各项资料对比显示:血栓组患者骨水泥的使用情况以及手术持续时间与非血栓组对比差异有统计学意义,P<0.05。两组患者DVT形成的Logistic回归分析表明性别、TG、骨水泥以及手术时间为影响血栓形成的独立危险因素。结论女性、G≥1.7mmol/L、使用骨水泥以及手术时间过长为导致全髋关节置换术后DVT发生的独立危险因素。

The related factors of the occurrence of deep vein thrombosis after total ankle replacement surgery

Objective To explore the related factors of the occurrence of deep vein thrombosis after total ankle replacement surgery, to provide a reference to improve the diagnosis and treatment for deep vein thrombosis after total ankle replacement surgery. Methods Selected 151 patients （151 hips） from our hospital from June 2005 to March 2010 for a total hip replacement surgery,divided patients into thrombus group and non-thrombus group according to with or without complication deep vein thrombosis. Collected two group patients data of gender, age, BMI. complications, preop erative taking corticosteroids, triglycerides （TG）. CHOL. previous hip surgery, blood transfusion, total blood loss, hemoglobin, albumin.the use of bone cement,indwelling catheter time, duration of surgery, the use time of antibiotics, harris score before and after surgery etc,did statistical comparison for the results. Results The comparison of two group pa tients data showed that：Compared with non-thrombus group, the age.gender and TG of thrombus group was with sta tistically difference,P〈0. 05. The comparison of patients data during and after surgery showed that： Compared with nowthrombus group, the use of bone cement and duration of surgery was with statistically difference, P〈0.05. The logistic regression analysis of DVT formation of two groups patients showed gender.TG.bone cement and operation time were risk factors to effect the independence of thrombosis. Conclusion Female.G≥l. 7 mmol/L.the use of bone cement and long time for operation were risk factors for the independence of DVT after total hip replacement surgery,