妇产科术后并发下肢深静脉血栓的特点分析与防治措施  

Characteristic analysis and prevention measures of obstetrics and gynecology postoperative deep venous thrombosis

作　　者：李薛鹏[1] 

机构地区：[1]山东省枣庄市立医院妇产科,277102

出　　处：《中国实用医刊》2013年第15期6-8,共3页Chinese Journal of Practical Medicine

摘　　要：目的分析妇产科术后并发下肢深静脉血栓（DVT）的病因特点及预防，从而更有效地总结方法及措施。方法选择自2010年10月至2012年10月枣庄市立医院经确诊为妇产科术后下肢静脉血栓的患者180例，观察患者术后下肢深静脉血栓的临床特点以及预防措施。结果良性肿瘤组2例（2．63％）发生下肢深静脉血栓，显著低于恶性肿瘤组的ll例（10．58％），差异有统计学意义（Х^2=32．91，P〈0．05）；13例深静脉血栓患者中11例发生于左下肢。剖宫产产妇16例（11．85％）形成髂总静脉血栓，高于自然分娩产妇的4例（2．96％），差异有统计学意义（Х^2=11．72，P〈0．05）。剖宫产产妇11例（8．15％）形成小腿深静脉血栓，高于自然分娩产妇的3例（2．22％），差异有统计学意义（x。=3．51，P〈0．05）。剖宫产产妇9例（6．67％）血栓形成合并肺栓塞，高于自然分娩产妇的2例（1．48％），差异有统计学意义（Х^2=12．31，P〈0．05）。剖宫产产妇7例（5．19％）血栓形成合并静脉曲张，高于自然分娩产妇的2例（1．48％），差异有统计学意义（Х^2=2．28，P〈0．05）。结论妇产科肿瘤术后并发下肢深静脉血栓的危险因素为恶性肿瘤，患者左下肢是极易出现恶性肿瘤的部位。对妇产科肿瘤术后及剖宫产术后并发下肢深静脉血栓的病因特点及预防要做到高度重视，结合各种预防措施，早期预防，减少患者并发症的发生率。Objective To analyze the etiology characteristics and prevention of postoperative deep venous thrombosis （DVT） in department of obstetrics and gynecology, in order to summarize themore effective methods and measures. Methods From October 2010 to October 2012, 180patients with DVT were observed about the clinical characteristics as well as the precautionary measures. Results The number of deep venous thrombosis in benign group was 2 cases （2.63 % ） , which was sig- nificantly lower than 11 cases （10.58%） in the malignant group, there was significant difference （Х^2 = 32.91, P 〈0.05）. In 13 patients with deep vein thrombosis, 11 cases occurred in the left lower limb. The number of people suffering from thrombosis in cesarean section common iliac vein was 16 cases （11.85% ） , the number of people suffering from thrombosis in natural childbirth maternal iliac vein total was 4 cases （2.96%） , there was significant difference（ Х^2=11.72, P 〈 0. 05）. The number of people suffering from thrombosis in cesarean section calf deep vein was 11 cases （ 8.15% ） , the number of peo- ple suffering from thrombosis in natural childbirth maternal calf deep vein was 3 cases （2.22%） , there was significant difference （ Х^2 = 3.51, P 〈 0. 05 ）. The number of people suffering from thrombosis and pulmonary embolism in cesarean section was 9 cases （6.67 % ） , the number of people suffering from thrombosis and pulmonary embolism in natural childbirth maternal was 2 cases （ 1.48% ）, there was sig- nificant difference（ Х^2= 12.31, P 〈 0.05 ）. The number of cesarean section suffering from thrombosis merger varicose veins was 7 cases （5.19%） , natural childbirth women suffering from thrombosis veins merge was 2 cases （ 1.48% ）, there was significant difference（Х^2 = 2.28, P 〈 0. 05）. Conclusions Postoperative deep venous thrombosis risk factors in department of obstetrics and gynecology was malig- nant tumor, patients＇ left lower limb is the prone parts of malign

关 键 词：妇科肿瘤 剖宫术 并发症 深静脉血栓 

分 类 号：R713[医药卫生—妇产科学] R719[医药卫生—临床医学]