膝关节交叉韧带重建术后下肢深静脉血栓形成的相关因素分析  

Analysis of the related factors of deep venous thrombosis of lower extremity after knee cruciate ligament reconstruction

作　　者：黄大社 刘君[1] 刘兴邦[1] 杨峰[1] 

机构地区：[1]湖北省潜江市中心医院骨科,潜江市433100

出　　处：《微创医学》2015年第5期586-588,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨膝关节交叉韧带重建术后下肢深静脉血栓形成的相关因素。方法回顾性分析206例行膝关节交叉韧带重建术患者的临床资料。记录术后下肢深静脉血栓形成的例数。分析年龄、BMI、高血压、高脂血症、止血带时间对下肢深静脉血栓形成的影响。结果 206例患者中有43例术后下肢深静脉血栓形成;Logistic回归分析显示,年龄≥60岁、BMI≥25 kg/m^2、高血压、高脂血症、止血带时间≥90 min是膝关节交叉韧带重建术后下肢深静脉血栓形成的独立危险因素(P<0.05)。结论年龄≥60岁、BMI≥25 kg/m^2、高血压、高脂血症、止血带时间≥90 min与膝关节交叉韧带重建术后下肢深静脉血栓的形成密切相关,术后应针对性做好预防措施。Objective To explore the related factors of deep venous thrombosis of lower extremity after knee crueiate ligament reconstruction. Methods Clinical data of 206 patients received knee crueiate ligament reconstruction were analyzed retrospectively. Incidence of lower extremity deep venous thrombosis were recorded. The influence of age, BMI, hypertension, hyperlipidemia, tourniquet time on deep vein thrombosis of the lower extremity were analyzed. Results There were 43 cases with deep venous thrombosis of lower extremity out of 206 cases. Logistic regression showed that age ≥ 60 years, BMI ≥ 25 kg/m^2, hypertension, hyperlipidemia, tourniquet time ≥90 min were independent risk factors of lower extremity deep vein thrombosis （P〈0.05）. Conclusion Age≥60 years, BMI≥25 kg/m^2, hypertension, hyperlipidemia, tourniquet time ≥ 90 min are closely related to lower extremity deep vein thrombosis, which should be targeted for prevention.

关 键 词：膝关节交叉韧带重建术 下肢深静脉血栓形成 危险因素 

分 类 号：R687.4[医药卫生—骨科学]