摘要
目的探讨腹腔镜手术围手术期下肢深静脉血栓形成(DVT)的相关危险因素。方法回顾分析复旦大学华山医院2007年3月至2008年1月期间收治的16例腹腔镜术后DVT患者的临床资料,并与同期148例腹腔镜手术后无下肢DVT者的资料进行比较,分析其相关危险因素。结果手术时间>1h者发生DVT的危险性是手术时间≤1h者的4.15倍OR=4.15(95%CI:1.36～12.68),接受下腹部手术者发生DVT的危险性是接受中上腹部手术者的2.94倍OR=2.94(95%CI:1.07～8.08),高危者(高危因素≥3个)发生DVT的危险性是低危者(高危因素<3个)的3.94倍OR=3.94(95%CI:1.38～11.23)。结论腹腔镜术后下肢DVT可能与手术时间长短、手术部位及术前高危因素的存在密切相关。围手术期应积极应对、积极处理,预防其发生。
Objective To investigate the correlated risk factors of deep venous thrombosis （DVT） after the laparoscopic surgery. Methods Clinical records of 16 patients with DVT and 148 patients without DVT after laparoscopic surgery in Huashan hospital from Mar. 2007 to Jan. 2008 were analyzed retrospectively. Results There were several factors which could induce DVT after the laparoscopic surgery, including operation time 〉1 h [OR= 4.15 （95% CI： 1.36--12.68）], operative site located in hypogastrium [OR=2.94 （95% CI： 1.07--8.08）] and the number of high risk factors ≥3 [OR：3.94 （95% CI： 1.38--11.23）]. Conclusions The long time of operation, hypogastric operation of laparoscopic surgery and high risk factors could induce DVT. Prevention measures should be made in preoperative period.
出处
《中国普外基础与临床杂志》
CAS
2009年第6期425-428,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹腔镜
深静脉血栓形成
高危因素
手术时间
手术部位
诊断
预防
Laparoscope
Deep venous thrombosis
High risk factor
Operation time
Operative site
Diagnosis
Prevention
