The age,sex,and provoked factors of acute symptomatic deep vein thrombosis on the left and right lower extremities  

作　　者：Chong-Li Ren Jian-Ming Sun Hai-Yang Wang Jian Fu Ye-Liang Xu Jin Wang Meng-Lin Nie 

机构地区：[1]Department of Abdominal Wall,Hernia,and Vascular Surgery,Second Affiliated Hospital,Chongqing Medical University,Chongqing,400010,China

出　　处：《Chinese Journal of Traumatology》2025年第2期96-100,共5页中华创伤杂志(英文版)

基　　金：supported by Natural Science Foundation of Chongqing,China(grant No.CSTB2023NSCQ-MSX0723).

摘　　要：Purpose:Deep vein thrombosis(DVT)of the left and right lower extremities was treated in the same way,but the left and right extremities received different levels of attention.This study aimed to investigate the differences between the right and left lower extremity deep vein thrombosis(LEDVT).Methods:Clinical characteristics of LEDVT patients from July 2020 to June 2022 were retrospectively analyzed to compare the incidence of LEDVT on different limbs,demographics,predisposing factors,and anatomical characteristics.The exclusion criteria were bilateral LEDVT and recurrent thrombosis.Measured data was analyzed using independent samples t-test or Mann-Whitney test.Count data were analyzed by Chi-square test.A p<0.05 was considered a statistically significant difference.Results:There were 478 patients included in this study and the ratio of left to right LEDVT on the left and right limbs was 3.16:1(363:115).Left LEDVT predominantly affected female,with the major aged>50 years(50-60 years:16.80%;>60 years:57.30%).The primary predisposing factor was iliac vein compression syndrome,with iliofemoral thrombosis being the main type.Male patients with LEDVT on the right limb were predominant and the age of onset was usually≤60 years(52.17%).The main predisposing factor was recent surgery or trauma(<30 days)and femoropopliteal thrombosis was the main type.In more detail,the left iliac vein was compressed mainly in the proximal segment,and the right iliac vein was compressed mainly in the intermediate and distal segments.Recent surgery or trauma to the locomotor system and genitourinary system often induced LEDVT.Conclusion:The incidence of LEDVT on the left is significantly higher than that on the right.LEDVT on different sides has different characteristics,which is crucial for prevention and diagnosis in the relevant population so there are also differences in treatment of the affected limbs.

关 键 词：Lower extremity deep vein thrombosis Left and right Predisposing factor Characteristics DIFFERENCE 

分 类 号：R543.6[医药卫生—心血管疾病]