血浆D-二聚体水平变化检测对全髋关节置换术后深静脉血栓形成的诊断价值  

Significance of monitoring plasma D-dimer level changes in the diagnosis of deep venous thrombosis after total hip arthroplasty

作　　者：马军峰 孟陆亮[2] 李水花[2] 叶新潮 

机构地区：[1]渭南市中医医院,陕西渭南714000 [2]渭南职业技术学院,陕西渭南714026

出　　处：《临床医学研究与实践》2018年第5期113-114,共2页Clinical Research and Practice

摘　　要：目的探讨全髋关节置换术后患者D-二聚体(D-D)的变化趋势及其对深静脉血栓形成(DVT)的诊断价值。方法选取2014年7月至2015年7月入我院治疗的120例全髋关节置换术患者,检测术前1天及术后1、3、7天的静脉血D-D水平,并根据CDFI检查结果分为静脉血栓(DVT)组和非静脉血栓组(非DVT组),观察两组患者D-D的变化趋势及CDFI检测和D-D检测结果的一致性。结果 120例患者术后发生DVT 39例,非DVT 81例。术后1、3、7天两组患者的D-D值均较术前1天增高(P<0.05);两组术后3、7天的D-D水平比较,差异显著(P<0.05)。120例行全髋关节置换术患者中,D-D检测阳性42例,CDFI检测阳性39例,CDFI检测和D-D检测结果高度一致。结论全髋关节置换术后,动态监测患者血浆D-D水平对DVT的早期诊断具有重要价值,D-D水平越高,发生DVT的可能性越大。Objective To investigate the change trend of D-dimer（D-D） level in patients after total hip arthroplasty and its diagnostic value for deep vein thrombosis（DVT）. Methods A total of 120 patients undergoing total hip arthroplasty from July 2014 to July 2015 in our hospital were selected. D-D levels were measured at 1 day before surgery and 1, 3, 7 days after surgery. According to the results of CDFI, the patients were divided into DVT group and non-DVT group. D-D changes in both groups were observed and the consistency between CDFI and D-D was analyzed. Results After operation,there were 39 patients with DVT, while 81 patients without DVT. The D-D levels of the two groups at 1, 3 and 7 days after operation were significantly higher than those at 1 day before operation（P〈0.05）. The D-D levels of the two groups at 3 and 7 days after operation were significantly different（P〈0.05）. Of 120 patients undergoing total hip arthroplasty, 42 cases were positive by D-D test and 39 cases were positive by CDFI test. The results of CDFI and D-D were highly consistent.Conclusion After total hip arthroplasty, dynamic monitoring of plasma D-D levels has important value in early diagnosis of DVT. The higher the D-D level, the greater the incidence possibility of DVT.

关 键 词：全髋关节置换术 D-二聚体 深静脉血栓 

分 类 号：R687.4[医药卫生—骨科学]