在全关节整形术后深静脉血栓的出现和频率
Juntendo Iji zasshi = Juntendo medical journal
|July 31, 2024
概括
在关节整形术 (THA) 后的深静脉血栓形成 (DVT) 是常见的,特别是在老年女性中. 血栓形成通常发生在术后的第一天,主要发生在足底静脉中,突出了早期检测策略的必要性.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 血栓形成研究研究
背景情况:
- 手术后静脉血栓塞栓症是关节整形术 (THA) 后的一个重大并发症.
- 早期发现深静脉血栓塞 (DVT) 对于预防肺栓塞 (PE) 至关重要.
- 目前的DVT检测方法和时间在医疗机构之间有所不同.
研究的目的:
- 为了调查THA后DVT的发生率,时间和位置.
- 为了确定与THA后DVT发展相关的风险因素.
- 建立对THA之后的DVT的最佳监测协议.
主要方法:
- 在2017年4月至2019年4月期间接受THA治疗的348名患者的回顾性分析.
- 在0,1,3,7,14,21日进行手术前和手术后的血液检查.
- 血管超声波检测血栓发生和位置.
主要成果:
- 在术后第21天,DVT在27.2%的患者中被检测到.
- 女性 (31.3%) 和老年患者 (平均年龄为73.0岁) 的DVT发病率较高.
- 单面静脉是最常见的部位 (74.7%);血栓经常发生在术后第一天 (66.6%的阳性病例).
结论:
- 在THA之后的DVT普遍存在,老年女性患者有显著的偏好.
- 血栓形成很快,通常在手术后的前24小时内发生.
- 推在THA.之后进行早期和一致的DVT查,特别关注足底静脉.
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