妇科肿瘤术后静脉血栓栓塞症的临床分析  

Clinical analysis of venous thromboembolism after gynecological tumor operation

作　　者：汪志辉[1] 玉珍 赵静 姚冬花 Wang Zhihui;Yu Zhen;Zhao Jing;Yao Donghua(Department of 0bsetricsand Gyneolagy,The Third Affillated Hospital of Guangzhou Medical University,Guangzhou 51015Q,China;Department of 0bstricsand Gyneoolagy,Nyingchi People's Hogpitl,Nyingchi,Xizang 680000 China)

机构地区：[1]广州医科大学附属第三医院妇产科,广东广州510150 [2]林芝市人民医院妇产科,西藏林芝680000

出　　处：《西藏医药》2023年第2期58-61,共4页Tibetan Medicine

摘　　要：目的探讨妇科肿瘤术后静脉血栓栓塞症(VTE)的危险因素及改良Caprini简表的临床意义。方法:选择2019年1月-2021年12月期间收治的妇科肿瘤术后VTE的患者41例为血栓组,选择同期进行手术而未发生VTE的妇科肿瘤患者115例为对照组,采用Logistic回归方法分析。结果:①单因素分析结果提示,妇科肿瘤术后血栓组与对照组的年龄、BMI、肿瘤性质及术后住院时间比较,差异有统计学意义(P<0.05);多因素分析结果提示,年龄≥60岁(OR 1.059,95%CI 1.018-1.101)、BMI≥24kg/m^(2)(OR 1.137,95%CI 1.000-1.292)、恶性肿瘤(OR 1.096,95%CI 1.590-4319)、术后住院时间长(OR 1.049,95%CI 0968-1.137)是妇科肿瘤术后VTE发生的危险因素。②改良Caprni简表在血栓组的平均分高于对照组,差异有统计学意义(t=2062,P=0.039),且血栓组改良Caprini简表评分≥5分的比例(43.90%,18/41)高于对照组(87%,10/115),差异有统计学意义(x=4.896,P=0.041)。结论:年龄≥60岁、BMI≥24kg/m^(2)、恶性肿瘤、术后住院时间长是妇科肿瘤术后发生VET的危险因素,改良Caprini简表能有效评估妇科肿瘤术后VTE的发生率,可用于临床。Objective To inesigate the nisk factors of postoperatve venous thromboembolsm(VTE)in gynecological tumor patients and the dinical sgnificance of the modifed Carini.Methods A total of 41 patients with VTE after gyneological tumor surgery from January 2019 to December 2021 were selected as the thrombus group and 115 gynecological tumor patients without VTE were selected as control group.Logistic regresson method was used to analyze.Results①Univariate analys's showed that there were satistially sgnifcant difrencesin age,BMI,tumor properties and postoperative hosital stay between the postoperative thrombosis group and the control group(P<0.05).Multivariate analysis showed that age≥60 years(OR 1.059,95%CI 1.018-1.101).BMI≥24kg/m^(2)(OR 1.137.95%CI 1.000-1.292),malignant tumor(OR 1.096,95%CI 1.590-4319)and long postoperative hospital stay(OR 1.049,95%CI 0.968-1.137)were risk factors for postoperative VTE in gynecological tumors②The average soore of modifed Caprini was higher in the thrombus group than that in the oontrol group.T he proportion of modifed Caprini score≥5 in the thrombusgroup(43.90%,18/41)washigher than that in the control group(87%,10/115),and the difference Was stically significant Conclusion Age≥6Q,BMI≥24kg/m^(2)malignant tumor,and long postoperative hospital stay are the risk factors for VTE after gynecological tumor operation,The modifed Caprini can effectively identfy the occurrence of VTE after gynecological tmor operation,which can be applied in dinical practioe.

关 键 词：妇科肿瘤 静脉血栓栓塞症 危险因素 改良caprini简表 

分 类 号：R737.3[医药卫生—肿瘤] R543.6[医药卫生—临床医学]