全髋关节置换术后下肢深静脉血栓形成的危险因素分析  

Analysis of Risk Factors for Deep Vein Thrombosis of Lower Extremity after Total Hip Arthroplasty

作　　者：艾力·热黑 刘永明[2] AILI Rehei;LIU Yongming(Department of Joint Surgery,The Seventh Affiliated Hospital of Southern Medical University,Foshan 528000,China;Department of Orthopedics and Trauma,The Seventh Affiliated Hospital of Southern Medical University,Foshan 528000,China)

机构地区：[1]南方医科大学第七附属医院关节外科,广东佛山528000 [2]南方医科大学第七附属医院创伤骨科,广东佛山528000

出　　处：《中国伤残医学》2024年第21期1-4,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：佛山市自筹经费类科技创新项目(2320001007535)。

摘　　要：目的:分析股骨头坏死(FHN)患者全髋关节置换术(THA)后下肢深静脉血栓(DVT)形成的危险因素。方法:回顾性分析2021年1月—2024年1月南方医科大学第七附属医院收治的120例FHN患者资料,根据术后是否发生下肢DVT将其分为发生组(n=14)和未发生组(n=106)。于术后统计患者下肢DVT发生率,另收集患者年龄、性别等资料,探究其术后下肢DVT发生的高危因素。结果:120例患者中,术后共有14例(11.67%)患者发生下肢DVT;年龄、身体质量指数(BMI)、高血压史、糖尿病史、假体类型、D-二聚体(D-D)水平与FHN患者THA后发生下肢DVT有关(P<0.05);年龄>60岁、BMI>24 kg/m^(2)、有高血压史、有糖尿病史、骨水泥型假体、D-D水平>0.5 mg/L均是FHN患者THA后发生下肢DVT的独立危险因素(P<0.05)。结论:年龄>60岁、BMI>24 kg/m^(2)、有高血压史、有糖尿病史、骨水泥型假体、D-D水平>0.5 mg/L是FHN患者THA后发生下肢DVT的高危因素。因此,针对上述高危人群,临床需加以重点关注,并施行针对性的干预对策,以尽可能地减少术后下肢DVT的发生风险,改善患者预后。Objective:To analyze the risk factors of deep vein thrombosis(DVT)of lower extremity after total hip arthroplasty(THA)in patients with femoral head necrosis(FHN).Methods:Data of 120 FHN patients who were admitted to the Seventh Affiliated Hospital of Southern Medical University from January 2021 to January 2024 were retrospectively analyzed.According to whether DVT occurred after operation,the patients were divided into an occurrence group(n=14)and a non-occurrence group(n=106).The incidence of DVT of lower extremity was analyzed after operation,and the age,gender and other data of patients were collected to explore the high-risk factors of postoperative DVT.Results:Among 120 patients,14 cases(11.67%)developed DVT extremity after operation.Age,body mass index(BMI),history of hypertension,history of diabetes,prosthesis type,D-dimer(D-D)level were correlated with DVT extremity after THA in FHN patients(P<0.05).Age>60 years old,BMI>24 kg/m^(2),history of hypertension,history of diabetes,bone cement prosthesis,D-D level>0.5 mg/L were independent risk factor for DVT lower extremity after THA in FHN patients(P<0.05).Conclusion:Age>60 years old,BMI>24 kg/m^(2),history of hypertension,history of diabetes,bone cement prosthesis,D-D level>0.5 mg/L are high risk factors for DVT extremity after THA in FHN patients.Therefore,for the above high-risk groups,clinical attention should be paid and targeted intervention measures should be implemented to reduce the risk of postoperative DVT lower extremity as much as possible and improve the prognosis of patients.

关 键 词：股骨头坏死 全髋关节置换术 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]