| D-二聚体联合彩色多普勒超声在诊断乳腺癌根治术后无症状静脉血栓栓塞症中的应用 |
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| 引用本文： | 宋洪生,高玲,王玉涛,孙岩. D-二聚体联合彩色多普勒超声在诊断乳腺癌根治术后无症状静脉血栓栓塞症中的应用[J]. 中国现代普通外科进展, 2019, 0(4): 270-274 |
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| 作者姓名： | 宋洪生 高玲 王玉涛 孙岩 |
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| 作者单位： | 东营市第二人民医院普外科;利津县明集中心卫生院普外科;济南市中医医院周围血管病科;山东大学附属山东省立医院血管外科 |
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| 基金项目： | 山东省中医药科技发展计划(2017-299) |
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| 摘 要： | 目的:探讨D-二聚体联合彩色多普勒超声在乳腺癌根治术后患者无症状静脉血栓栓塞症(AVTE)诊断中的应用价值。方法:回顾性分析2013年7月-2017年7月入院的114例乳腺癌根治术后患者,根据入院时间分为两组,对照组62例,观察组52例。两组患者均在术后1、3、5、7、14、21 d接受D-二聚体检测。观察组患者除接受D-二聚体检测外,在术后第7、14、21天行肢体静脉彩超检查。结果:对照组中15例患者D-二聚体水平≥10μg/mL,9例最终确诊AVTE(14.5%);观察组中17例患者D-二聚体水平≥10μg/mL,彩超提示静脉血栓栓塞症(VTE)发病14例,16例确诊VTE(30.8%)。与对照组相比,观察组无症状VTE检出率较高(P<0.05)。结论:与单纯D-二聚体检测相比,D-二聚体检测联合彩色多普勒超声检查有助于乳腺癌根治术后AVTE的发现。
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| 关 键 词： | 静脉血栓栓塞症 无症状 乳腺癌 D-二聚体 彩色多普勒超声 |
Application of D-Dimer combined with color doppler ultrasound in diagnosis of postoperative Asymptomatic Venous thromboembolism after radical mastectomy in patients with breast cancer |
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| SONG Hong-sheng,GAOLing,WANG Yu-tao,SUN Yan. Application of D-Dimer combined with color doppler ultrasound in diagnosis of postoperative Asymptomatic Venous thromboembolism after radical mastectomy in patients with breast cancer[J]. Chinese Journal of Current Advances in General Surgery, 2019, 0(4): 270-274 |
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| Authors: | SONG Hong-sheng GAOLing WANG Yu-tao SUN Yan |
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| Affiliation: | (Department of General Surgery,The Second People's Hospital of Dongying(Dongying 257335,China);Department of General Surgery, Mingji Central Hospital of Lijin County(Dongying 257400,China);Department of Peripheral Vascular Surgery, Jinan Municiple Hospital of Traditional Chinese Medicine(Jinan 250012,China);Department of Vascular Surgery, Shandong Provincial Hospital(Jinan 250012,China)) |
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| Abstract: | SONG Hong-sheng;GAOLing;WANG Yu-tao;SUN Yan(Department of General Surgery,The Second People's Hospital of Dongying(Dongying 257335,China);Department of General Surgery, Mingji Central Hospital of Lijin County(Dongying 257400,China);Department of Peripheral Vascular Surgery, Jinan Municiple Hospital of Traditional Chinese Medicine(Jinan 250012,China);Department of Vascular Surgery, Shandong Provincial Hospital(Jinan 250012,China)) |
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| Keywords: | Venous thromboembolism asymptomatic Breast cancer D-dimer Color doppler ultrasound |
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