摘要
目的探讨妇科肿瘤围手术期并发下肢深静脉血栓的诊断及治疗。方法回顾性分析28例妇科肿瘤围手术期并发下肢深静脉血栓患者的临床资料。结果本组28例患者中恶性肿瘤患者25例,良性肿瘤患者3例,平均年龄51.6岁。经静脉彩色多普勒超声检查并结合D-二聚体监测,确诊后采用全身及局部抗凝、溶栓及活血化淤药物治疗;术前并发中央型、混合型下肢深静脉血栓,及术前或术后并发肺动脉栓塞患者均放置临时性下腔静脉滤器。28例患者均达好转出院,无死亡病例。结论1.妇科肿瘤尤其恶性肿瘤患者围手术期应充分重视LDVT的诊断及治疗。2.下腔静脉滤器可有效预防妇科肿瘤围手术期致命性肺动脉栓塞的发生。
Objective Investigate the diagnosis, treatment, and prophylaxis of perioperative lower extremity deep venous thrombosis （LDVT） in patient with gynecological tumor. Methods The profiles of 28 cases with perioperative LDVT in gynecologic tumor were analyzed retrospectively. Results Be diagnosed by plasma D - dimer detection and Doppler ultrasound ,28 cases received systematic or local anticoagulation, thrombolysis. And temporary inferior vena cave filters （IVCFs） were placed for both the patients with central or mixed type LDVT and the patients with PE either preoperative or postoperative to prevent fatel pulmonary thromboembolism（PE）. Recovery were achieved in 28 patients. Conclusions 1. Perioperative period patients with gynecology tumor especially malignancy tumor should pay attention to the prevention and treatment of LDVT. 2. Provisionality inferior vena cava filter （IVCF） can effective prevent fatal pulmonary thromboembolism（PE） in patient with gynecological tumor.
出处
《医学信息（手术学分册）》
2008年第6期495-497,共3页
Medical Information Operations Sciences Fascicule
关键词
妇科肿瘤
下肢深静脉血栓
肺动脉栓塞
治疗
gynecologic tumor
deep venous thrombosis
pulmonary thromboemholism
therapy
