影响卵巢癌减灭术后下肢静脉血栓发生的相关因素分析  

Related Factors Affecting Lower Extremity Venous Thrombosis after Cytoreductive Surgery for Ovarian Cancer

作　　者：席艳妮[1] 闫峰[1] 

机构地区：[1]陕西省榆林市第二医院,719000

出　　处：《实用癌症杂志》2016年第5期827-829,共3页The Practical Journal of Cancer

摘　　要：目的探讨影响卵巢癌减灭术后下肢静脉血栓发生的相关因素。方法将90例卵巢癌患者,按照术后是否发生下肢静脉血栓分为血栓组和非血栓组,分析2组患者术前相关参数、术中相关因素和术后相关参数。结果单因素分析显示,体重指数、年龄、纤维蛋白原、血小板计数、血栓史、术中出血量和输血量、满意减瘤和卧床天数是卵巢癌减瘤术后下肢静脉血栓发生的高危因素。多因素分析显示,体重指数、血小板计数、纤维蛋白原和卧床天数是卵巢癌减瘤术后下肢静脉血栓发生的独立影响因素。结论对于肥胖、血小板计数增高、高纤维蛋白原和术后长时间卧床的患者,应及时采取预防措施,防止术后发生下肢静脉血栓。Objective To investigate the factors affecting the incidence of lower extremity venous thrombosis in ovarian cancer patients after cytoreductive surgery. Methods 90 ovarian cancer patients,according to the occurrence of venous thrombosis of the lower limbs,were divided into deep venous thrombosis group and non deep venous thrombosis group. Preoperative parameters,intraoperative parameters and postoperative parameters of the 2 groups were analyzed. Results Single factor analysis showed that body mass index,age,fibrin fibrinogen and platelet count,history of thrombosis,postoperative bleeding and the amount of blood transfusion,satisfactory reduction of tumor and bed days were risk factors of lower extremity deep vein thrombosis in ovarian cancer after cytoreductive surgery. Multivariate analysis showed that body mass index,platelet count,fibrinogen and bed days were the independent influence factors of lower extremity deep vein thrombosis in ovarian cancer after cytoreductive surgery. Conclusion The patients with obesity,high blood platelet count,high fibrinogen and long time stay in bed after surgery should taken prevention measures to prevent the occurrence of lower extremity venous thrombosis.

关 键 词：卵巢癌 减灭术 下肢静脉血栓 影响因素 

分 类 号：R737.31[医药卫生—肿瘤]