预测和风险因素的下肢深静脉血栓在整体关节关节整形术后
Zhenhua Wang1, Zhiwei Liu1, Zhaoxing Tian1
1Emergency Department, Beijing JiShuiTan Hospital.
The Tohoku journal of experimental medicine
|September 11, 2024
概括
深静脉血栓症 (DVT) 影响9.73%的关节整形术 (TJA) 患者. 糖尿病,蛋白C (PC) 降低和组织型等离子体激活剂 (t-PA) 是TJA后DVT的关键风险因素.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 深静脉血栓塞 (DVT) 是全面关节整形术 (TJA) 后的一个重大并发症.
- 确定DVT的风险因素对于患者管理和预防策略至关重要.
研究的目的:
- 在接受TJA的患者中确定DVT的发病率.
- 识别和分析与TJA后DVT发展相关的风险因素.
主要方法:
- 对接受TJA的113名患者进行了回顾性分析.
- 手术后的超声波诊断以确定DVT.
- 后勤回归和ROC曲线分析,以评估风险因素和诊断准确性.
主要成果:
- 在TJA后DVT的发病率为9.73% (113名患者中有11名).
- 在DVT和非DVT组之间观察到年龄,糖尿病,手术时间,血液流失,输血,抗血-III,蛋白C (PC),SPECAM-1和t-PA的显著差异.
- 多变量分析确定了糖尿病,PC降低和t-PA降低作为DVT的独立风险因素.
结论:
- 糖尿病是TJA后DVT的重要危险因素.
- 蛋白C (PC) 和组织型等离子体激活剂 (t-PA) 的水平降低是 DVT 风险的关键指标.
- 结合PC和t-PA的评估表明,在TJA后预测DVT的诊断准确度很高.
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