子宫肌瘤术后下肢深静脉血栓形成的早期诊断和治疗  

The early diagnosis and treatment of LEDVT after operation of hysteromyoma

作　　者：刘爱霞 刘鹏[2] 

机构地区：[1]延安市宝塔山医院,陕西延安716000 [2]西安交通大学医学院第一附属医院,陕西西安710061

出　　处：《基层医学论坛》2007年第11期966-968,共3页The Medical Forum

摘　　要：目的讨论子宫肌瘤术后下肢深静脉血栓形成(LEDVT)的早期诊断和治疗。方法总结1年间68例子宫肌瘤术后患者,特别是其中并发下肢深静脉血栓形成10例患者的诊治并提出早期诊断体会。结果9例治愈出院,1例死于栓子脱落引起的肺栓塞。结论子宫肌瘤术后下肢深静脉血栓形成的早期诊断可以提高患者预后,为治疗争取时间。结合静脉超声和D-二聚体检测诊断下肢深静脉血栓形成可以大大减少静脉造影的必要性。Objective To discuss the early diagnosis and treatment of lower extremity deep venous thrombosis （LEDVT）caused by the operation for hysteromyoma. Methods Introduce the experience in early diagnosis by summarizing 68 cases after the operation for hysteromyoma especially the 10 cases of LEDVT after operation of hysteromyoma. Results 9 cases recovered, 1 case died of lung embolism caused by dropped embolus. Conclusion The early diagnosis is important to therapeutic efficacy and prognosis. Combining the hypersound of vein and detection of D-dimer can largely decrease the essentiahty of phlebography.

关 键 词：子宫肌瘤 深部静脉血栓形成 早期诊断 

分 类 号：R737.33[医药卫生—肿瘤]