摘要
近年来随着医疗技术的发展,膝关节置换术(total knee arthroplasty,TKA)日趋普遍,膝关节退行性变、类风湿性膝关节炎及膝关节周围严重骨折都可以行TKA,以此提高患者的生活质量。但TKA是一种重大的有创手术,且患者以老年人群为主,术后并发症不容忽视,尤其是术后深静脉血栓(deep vein thrombosis,DVT)的形成。若栓子脱落可能会继发肺栓塞(pulmonary embolism,PE),严重威胁患者生命,故近几年TKA术后DVT日益受到重视。本研究主要从诊断、危险因素、预防和治疗几个方面对TKA术后DVT作一综述。
In recent years, as development of medical treatment, total knee athroplasty (TKA) which has become increasingly common and been used in knee joint degeneration, rheumatoid arthritis of knee and serious fracture around the knee joint may significantly improve quality of the patients' life. But TKA is a kind of major surgery and is given to the elderly, the postoperative complications should not be ignored, especially deep vein thrombosis (DVT).Falling of the embolic may lead to pulmonary embolism(PE) and threat seriously to patients' life. Therefore, DVT is given more and more attention in recent years. The study mainly reviews the diagnosis, risk factors, prevention and treatment o{ the DVT after TKA.
作者
黄军刚
王文己
赵月生
HUANG Jungang;WANG Wenji;ZHAO Yuesheng(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China;Department of Orthopedics,the First Medical Hospital of Lanzhou University)
出处
《西北国防医学杂志》
CAS
2018年第9期625-630,共6页
Medical Journal of National Defending Forces in Northwest China
关键词
膝关节置换
深静脉血栓
肺栓塞
total knee athroplasty
deep vein thrombosis
pulmonary embolism