妇科盆腔手术后下肢深静脉血栓治疗及转归的临床研究  

The Medical Therapy and the Outcomes of Postoperative Lower Extremity Deep Venous Thrombosis Following Gynecological Surgical Procedures

作　　者：刘玉珍[1] 张震宇[2] 李金凤[2] 郭淑丽[2] 刘桂梅[2] 

机构地区：[1]潍坊医学院附属医院,山东潍坊261031 [2]首都医科大学附属北京朝阳医院,北京100020

出　　处：《实用妇产科杂志》2007年第5期314-316,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨妇科盆腔手术后下肢深静脉血栓(DVT)的治疗方法及转归。方法:依据治疗程度将31例妇科盆腔手术后下肢DVT患者分为治疗充分组(17例)与治疗不充分及未治疗组(14例),回顾性分析两组患者的临床特点、治疗方法及转归。结果:①31例患者中有3例患者术后发生肺栓塞(PTE),发病率为9.7%;②治疗充分组患肢酸痛乏力缓解时间及患肢水肿或压痛缓解时间明显早于未治疗及治疗不充分组(P<0.05);③半年后血栓形成后综合征(PTS)发生率,两组差异无显著性(P>0.05);④复查双下肢静脉超声,治疗充分组血栓完全溶解率(87.5%)明显高于未治疗及治疗不充分组(38.5%)(P<0.05)。结论:妇科盆腔手术后DVT可继发PTE及PTS;抗凝治疗是DVT的有效治疗方法;及时、充分治疗是祛除血栓,预防DVT严重并发症的有效方法。Objective： To investigate the medical therapy and outcomes of postoperative lower extremity deep venous thrombosis （DVT） following gynecological surgical procedures. Methods： According to the course of medical therapy, 31 cases who suffered from postoperative lower extremity DVT were divided into two groups： completely treated group （ n= 17） and incompletely or untreated group （ n= 14）. The clinical characteristics, treatment modalities and the outcomes were studied retrospectively. Results：① Among 31 cases who suffered from DVT, there are 3 cases suffered from pulmonary throrniboembolisrn（PTE）, the morbidity of PTE in patients with DVT was 9.7%.② Symptoms and signs in completely treated group were relieved more earlier than in incompletely or untreated group （ P〈 0.05） .③The rate of post- thrombotic syndrome in two groups had no significant difference（ P〉 0.05）. ④The rate of complete lysis in completely treated group was much higher than in incompletely or untreated group（ P 〈 0.05）. Conclusions： PTE and PTS could be the most serious secondary from postoperative lower extremity DVT in gynecological surgeries. Early and completely anticoagulatory therapy was effective for DVT.

关 键 词：深静脉血栓 妇科手术 治疗 

分 类 号：R713[医药卫生—妇产科学]