大隐静脉曲张患者术后DVT发生率及危险因素分析  

Incidence Rate and Risk Factors of Postoperative DVT in Patients with Varicose Great Saphenous Veins

作　　者：郭雪亮 王向征[1] 张会来[1] 韩达 Guo Xueliang;Wang Xiangzheng;Zhang Huilai(The First Department of External Medicine,The Second People’s Hospital of Jiyuan City,Jiyuan,Henan,459000,China)

机构地区：[1]济源市第二人民医院外一科,河南济源459000 [2]郑州大学第一附属医院血管外科,河南郑州450000

出　　处：《黑龙江医学》2025年第2期136-138,共3页Heilongjiang Medical Journal

基　　金：2021年度河南省医学科技攻关计划联合共建项目和软科学项目(LHGJ20210356)。

摘　　要：目的:关于大隐静脉曲张患者术后下肢深静脉血栓(DVT)发生率及危险因素分析。方法:选取2019年8月—2023年8月样本医院收治的97例大隐静脉曲张患者作为研究对象,所有患者均接受大隐静脉高位结扎+静脉曲张剥脱术进行手术治疗,根据患者术后是否出现DVT将其分为研究组(n=14)和对照组(n=83)。统计患者术后出现DVT的发生率,收集患者的一般资料并进行logistic回归分析,探寻影响患者出现DVT的危险因素。结果:术后97例患者中发生DVT的共14例,发生率为14.43%;单因素分析结果显示,年龄≥60岁、合并糖尿病、术前1个月使用过激素类药物、静脉曲张病程≥5年、D-二聚体(D-Dminer)水平比较,差异均有统计学意义(χ^(2)=6.634、4.318、6.251、4.430;t=11.545,P<0.05);logistic回归分析结果显示,年龄≥60岁、合并糖尿病、术前1个月使用过激素类药物、静脉曲张病程≥5年、D-Dimer水平是大隐静脉患者术后发生DVT的危险因素(OR=2.303、3.618、2.347、2.435、2.866,P<0.05)。结论:大隐静脉患者术后DVT发生率为14.43%,年龄、合并糖尿病、术前1个月使用过激素类药物≥5年、静脉曲张病程、D-Dimer水平是导致患者术后发生DVT的危险因素。Objective:To analyze the incidence rate and risk factors of postoperative lower extremity deep vein thrombosis(DVT)in patients with varicose great saphenous veins.Methods:A total of 97 patients with varicose great saphenous veins who were treated with high ligation and stripping of the great saphenous vein in the hospital from August 2019 to August 2023 were selected as the study subjects.They were divided into the study group(n=14)and the control group(n=83)according to the presence or absence of DVT after surgery.The incidence rate of postoperative DVT was calculated,and logistic regression analysis was performed to identify the risk factors for DVT.Results:Among the 97 patients,a total of 14 patients had DVT,with an incidence rate of 14.43%.Univariate analysis found that there were statistically significant differences between groups in terms of the proportions of patients aged≥60 years old,patients with diabetes,patients using hormone drugs at one month before surgery and patients with course of varicose veins≥5 years,and D-Dimer level(χ^(2)=6.634,4.318,6.251,4.430;t=11.545;P<0.05).Logistic regression analysis found that age≥60 years old,diabetes,use of hormone drugs at 1 month before operation,course of varicose veins≥5 years and D-Dimer level were the risk factors for postoperative DVT in patients with varicose great saphenous veins(OR=2.303,3.618,2.347,2.435,2.866;P<0.05).Conclusion:The incidence of postoperative DVT in patients with postoperative great saphenous veins is 14.43%.Age,diabetes,use of hormone drugs at one month before surgery,course of varicose veins and D-Dimer level are risk factors for postoperative DVT.

关 键 词：大隐静脉曲张 下肢深静脉血栓 发生率 危险因素 

分 类 号：R543.6[医药卫生—心血管疾病]