妇科肿瘤术后下肢静脉血栓影响因素分析  

Analysis of the Factors Affecting Lower Extremity Venous Thrombosis after Gynecological Tumor Surgery

作　　者：崔娜[1] 高磊[1] 庞真贞 周朋哲 

机构地区：[1]河北省保定市第一中心医院妇科,保定071000

出　　处：《中国医药导刊》2015年第9期902-903,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:分析妇科肿瘤术后发生下肢深静脉血栓原因,并探讨相关防治措施。方法:回顾性分析我院所收治的18例妇科肿瘤患者术后伴下肢深静脉血栓资料为观察组,同时选取18例妇科肿瘤术后不伴下肢深静脉血栓患者作为对照组。分析观察组患者发生下肢深静脉血栓的危险因素及防治情况。结果:经单因素分析,中心静脉置管和输血及介入化疗等因素比较(P<0.05)。采用根据多普勒超声和实验室检查及临床表现可确诊下肢深静脉血栓,临床采用抗凝和溶栓等治疗具有较好疗效。结论:输血和开腹手术及中心静脉置管、介入化疗可能为临床妇科肿瘤术后并发下肢深静脉血栓,采用溶栓等治疗可改善患者症状,促进其康复。Objective： To analyze the causes of deep venous thrombosis after gynecological tumor surgery, and to explore the relevant prevention and control measures. Methods：A retrospective analysis in our hospital were 18 cases of postoperative patients with gynecologic tumor with data of deep venous thrombosis of lower limb as the observation group, at the same time, select the 18 cases of gynecologic oncology postoperative without patients with deep venous thrombosis of lower limb as the control group. The risk factors and prevention of lower extremity deep venous thrombosis in the observation group were analyzed.Results：After tmivariate analysis, central venous catheters and blood transfusion and infusion chemotherapy and other factors comparison （P〈0.05）. Used the Doppier ultrasound and laboratory tests and clinical manifestations could be diagnosed with deep vein thrombosis,the clinical use of anticoagulant and thrombotytic therapy had a good effect.Conclusion：Transfusion and laparotomy and central venous catheter, interventional clinical gynecologic oncology chemotherapy may postoperative deep venous thrombosis, thrombolytic therapy may improve symptoms, promote their rehabilitation.

关 键 词：下肢深静脉血栓 妇科 肿瘤 手术 因素 

分 类 号：R737.3[医药卫生—肿瘤]