左股骨近端骨纤维结构不良术后迟发性下肢深静脉血栓形成一例  

Delayed lower extremity deep venous thrombosis after operation for osteofibrous dysplasia of the left femur： report of one case

作　　者：黄恺[1] 徐卫星[1] 张春[1] 

机构地区：[1]浙江省立同德医院骨科,浙江杭州310012

出　　处：《浙江大学学报（医学版）》2014年第3期379-380,F0003,共3页Journal of Zhejiang University(Medical Sciences)

基　　金：浙江省自然科学基金（Y2110078）;浙江省公益性技术应用研究计划（2013C37025）;浙江省医学会临床科研基金（2010ZYC-A06）.

摘　　要：下肢深静脉血栓（LDVT）为骨科下肢大手术常见的术后并发症,术后24 h内是LDVT的高发期.本文报道左股骨近端骨纤维结构不良接受病灶清除加带阔筋膜张肌髂骨瓣植入填塞病灶加人工骨植骨术术后16 d发生LDVT一例,经多普勒超声检查确诊后立即给予溶栓抗凝治疗,3周后患肢症状基本消退,多普勒超声复查下肢血管显示栓塞血管再通.Lower extremity deep venous thrombosis （LDVT） is one of the most common complications in orthopedic surgery,and it often occurs in the first 24 h after operation.We report a case of delayed LDVT,which occurred on d 16 after operation for osteofibrous dysplasia on the left femur.Upon the diagnosis confirmed,thrombolysis and anticoagulation therapy was conducted.The symptoms disappeared 3 weeks later and lower limb vascular ultrasound examination showed no remnant thrombosis.

关 键 词：静脉血栓形成 下肢 血液供给 矫形外科学 血栓溶解疗法 超声检查 多普勒 彩色 

分 类 号：R687.3[医药卫生—骨科学]