在炎症性肠病手术后静脉血栓栓塞的时间和位置
Nicholas P McKenna1, Katherine A Bews2, Kevin T Behm1
1Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.
The Journal of surgical research
|February 10, 2024
概括
由于炎症性肠病而接受手术的患者面临着静脉血栓栓塞 (VTE) 的显著风险,特别是在手术后30天内. 端口腹腔静脉瘤是一种常见的并发症,风险因手术程度而异.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 手术瘤学手术瘤学
背景情况:
- 炎症性肠病 (IBD) 患者患有术后静脉血栓栓塞 (VTE) 的风险增加.
- 在IBD患者手术后的VTE的确切发生率和解剖分布仍然不完全理解.
研究的目的:
- 确定在肠道手术后患有性结肠炎 (UC) 和克罗恩病 (CD) 的患者中VTE的发病率和解剖位置.
- 在术后90天内分析静脉瘤发育的时间模式.
主要方法:
- 从2006年1月到2021年3月进行肠道手术的UC或CD患者的回顾性评估.
- 在手术后90天内对静脉瘤发病率和位置的分析.
- 基于手术程序和时间间隔的VTE风险分层.
主要成果:
- 对于UC患者 (n=2716),VTE患病率为1.95% (1-30天),0.74% (31-60天) 和0.48% (90天).
- 在CD患者中 (n=2921),VTE患病率为1.43% (1-30天),0.55% (31-60天) 和0.41% (90天).
- 港口腹腔VTE占事件的很大一部分,特别是在前30天内 (72%为UC,31%为CD). 腹腔切除术 (UC) 和全腹腔切除术 (CD) 显示了最高的静脉瘤发病率.
结论:
- 在UC和CD患者中,大多数术后静脉瘤发生在手术后30天内.
- 静脉瘤的风险和位置受外科手术的程度的影响,其中带腹静脉瘤是一个值得关注的关注点.
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