全髋关节置换术围术期下肢深静脉血流动力学研究  

Hemodynamics of deep vein in lower limb during perioperativc period of total hip arthroplasty

作　　者：朱刃 吴思旺 龚海英 陈贤中 朱轶 魏社军 张长青[2] 樊静[3] 柳咏 俞文俊 朱俊杰 钟金 

机构地区：[1]义乌市稠州医院骨科,322000 [2]上海市第六人民医院骨科 [3]金华市中心医院超声科

出　　处：《中华创伤杂志》2009年第8期713-716,共4页Chinese Journal of Trauma

摘　　要：目的探讨全髋关节置换围术期下肢深静脉血流动力学改变及下肢深静脉栓塞（deep vein thrombosis，DVT）的早期诊断。方法对62例初次全髋关节置换术患者进行围术期的多普勒超声检查、血液流变学检测和血浆D-二聚体检测，在发生DVT及无DVT间对相关结果进行统计学分析，以探讨DVT的早期诊断。结果多普勒超声检查发现8例并发DVT，并发DVT组术后血浆D-二聚体浓度显著高于术前，也显著高于未并发DVT组（P〈0．05），血液流变学各项指标检测显示术后7d显著性增高（P〈0．05）。结论多普勒超声检查结合血浆D-二聚体和血液流变学检测有利于早期诊断DVT。Objective To investigate hemodynamie changes of deep vein in lower limb during the perioperative period of total hip arthroplasty （THA） and early diagnosis of deep vein thrombosis （DVT）. Methods Doppler ultrasound, hemorheology detection and plasma D-dimer testing were done on 62 patients treated with THA. Statistical analysis was carried out on the data of patients with or without DVT to study the early diagnosis of DVT. Results The results of Doppler ultrasound showed DVT in 8 patients, Compared with postoperative concentration of plasma D-dimer, the preoperative concentration of plasma D-dimer was significantly higher in patients with or without DVT （ P 〈 0.05 ）. The levels of hemorheologieal indices were significantly increased at postoperative day 7 （ P 〈 0. 05 ）. Conclusions Doppler ultrasound combined with plasma D-dimer testing and hemorheology detection are helpful in early diagnosis of DVT.

关 键 词：关节成形术 置换 髋 静脉栓塞形成 血流动力学过程 

分 类 号：R687.4[医药卫生—骨科学] R656.06[医药卫生—外科学]