腹腔镜胆囊切除术后深静脉血栓形成17例报道

目的探讨腹腔镜胆囊切除术后静脉血栓形成的原因和治疗方法及其预防。方法回顾性分析我院2001年1月～2005年12月行腹腔镜胆囊切除术后静脉血栓形成17例的临床资料。结果浅静脉血栓14例经溶栓治疗、股深静脉血栓3例经溶栓、取栓术治疗均治愈。行抗凝治疗6个月。随访6～12个月,未见复发。结论腹腔镜胆囊切除术后静脉血栓形成与病人高危因素、CO2气腹、体位、麻醉等因素密切相关。在围手术期应积极采取措施加以治疗和预防。

Venous thrombosis following laparoscopic cholecystectomy: A report of 17 cases

Objective To investigate the etiology,treatments and prevention of venous thrombosis(VT)following laparoscopic cholecystectomy(LC).Methods A retrospective analysis on clinical records of 17 cases of VT following of LC in this hospital from January 2001 to December 2005 was carried out.Results In 14 cases of superficial vein thrombosis treated for 4-8 days,the symptoms of redness,swelling,heat and pain vanished.Re-examinations of color Doppler ultrasonography revealed disappearance of thrombosis,and an anticoagulation therapy with Warfarin was given.During a follow-up of 6-12 months,no recurrence was found.In 3 case of deep femoral vein thrombosis with pulmonary embolism,an anticoagulation therapy was employed for 4 months and during a follow-up of 6 months no recurrence occurred.Conclusion The development of VT following LC is correlated to patients' high-risk factors,carbon dioxide pneumoperitoneum,and anesthesia.Perioperative management is necessary to treat and prevent VT.