腹股沟疝术后下肢深静脉血栓形成的治疗体会

目的: 探讨腹股沟疝术后下肢深静脉血栓形成（lower extremity deep venous thrombosis, LEDVT）的治疗经验。方法: 2012年1 月至 2017年 12月我院收治的2 835 例腹股沟疝病人,其中7例（0.25%）病人术后发生LEDVT。结果: 7例腹股沟疝病人术后发生LEDVT,其中1例双下肢,4例左下肢,2 例右下肢。经抗凝和对症支持治疗,均顺利出院。未发生肺栓塞和死亡。结论: 腹股沟疝围术期,要高度重视 LEDVT 的发生。积极预防、迅速诊断和治疗是防治LEDVT 的关键。

Treatment of lower extremity deep venous thrombosis after inguinal hernia surgery

Objective To assess the treatment of lower extremity deep venous thrombosis (LEDVT) after inguinal hernia surgery. Methods A total of 2 835 patients with inguinal hernia underwent herniorrhaphy from January 2012 to December 2017. There were 7 patients who suffered LEDVT after hernia surgery and the rate of LEDVT was 0.25%. Results One case with LEDVT involved both lower extremities, 4 cases in left lower extremity and 2 cases in right lower extremity. All 7 cases were discharged from hospital after anticoagulant therapy and symptomatic treatment. There was no pulmonary embolism and no mortality. Conclusions It is important to pay attention to LEDVT during the perioperative period of inguinal hernia.Prevention, diagnosis and management of LEDVT after inguinal hernia surgery was reviewed and become the key measures for LEDVT.