对宫癌患者手术后下肢深静脉血栓形成的危险因素的分析
Shiyu Cheng1, Han Gao2, Yanli Li2
1Medical College, Wuhan University of Science and Technology School of Medicine, Wuhan, China.
概括
这项研究在接受手术的宫癌患者中确定了深静脉血栓形成 (DVT) 的关键风险因素. 高龄,肥胖,高D-二次体,高甘油和开放手术增加了DVT的风险.
科学领域:
- 在瘤学瘤学.
- 血管外科 血管外科
- 流行病学 流行病学
背景情况:
- 深静脉栓塞 (DVT) 对手术和癌症患者的安全和生活质量构成重大威胁.
- 关于手术后下肢DVT发生率和风险因素的数据有限,特别是在宫癌患者中.
研究的目的:
- 分析宫癌患者手术后下肢DVT的发病率并确定独立的风险因素.
- 在这个患者群体中为DVT提供临床预防和治疗策略的信息.
主要方法:
- 在湖北宫癌预防中心治疗的309名宫癌患者的回顾性分析.
- 后勤回归模型用于确定手术后下肢DVT的风险变量.
主要成果:
- 单变量分析显示,DVT发生率增加与年龄较大,肥胖,高手术前D-二分体和甘油三水平,慢性疾病,开放式手术,更长的手术时间,输血,晚期瘤阶段,以及先前的化疗/放射治疗有关.
- 多变量分析确定了晚年,肥胖,手术前D-二次体升高,手术前高水平的甘油三和开放手术作为独立的风险因素 (P < .05).
结论:
- 手术后的下肢DVT在患有宫癌的妇科患者中非常普遍.
- 临床医生必须实施全面的预防措施,针对已识别的风险因素,以减少DVT发病率并改善患者的治疗结果.
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