不同的预防措施,以预防术后深静脉血栓塞栓症在腺髓炎:一个回顾性研究
Yan Lei1, Na Chen1, Yuqin Tang1
1Hubei Province Women and Children Hospital, Wuhan, PR China.
Clinics (Sao Paulo, Brazil)
|June 15, 2025
概括
患有子宫腺髓炎的女性患有术后静脉血栓栓塞 (VTE) 的风险更高,特别是在腹腔镜外除病变后. 建议在术后7天内对静脉瘤进行查,即使使用血栓预防.
科学领域:
- 妇科 妇科 妇科 妇科
- 手术瘤学手术瘤学
- 血管外科 血管外科
背景情况:
- 子宫腺苗病与独特的临床特征有关,包括改变的生殖史和更大的子宫体积.
- 手术后静脉血栓栓塞 (VTE) 是妇科外科手术的一个重大问题.
- 了解VTE风险因素和预防策略对于腺髓炎患者至关重要.
研究的目的:
- 为了确定在接受手术的患有子宫腺肌的女性中VTE的发病率.
- 为了比较VTE率在不同的手术方法对腺肌病.
- 评估与这些患者的VTE相关的临床和实验室参数.
主要方法:
- 对411名患有子宫腺肌的妇女和33名对照妇女的回顾性分析.
- 临床数据,手术方法和凝血参数的比较.
- 基于手术类型和血栓预防策略的VTE发病率分析.
主要成果:
- 患有腺肌的女性在手术前的血小板数量和手术后的d-二聚合物水平都较高.
- 静脉瘤发作发生率在腺菌症组 (9.78%) 与对照组 (3.03%) 显著更高.
- laparoscopic 病变切除的VTE率 (18.46%) 比宫内切除 (7.86%) 更高. 联合预防降低了静脉瘤发病率.
结论:
- 在患有子宫腺肌的女性中,术后静脉瘤风险较高,特别是在腹腔镜切除病变后.
- 建议在术后7天内进行VTE查,无论症状或血栓预防如何.
- 需要进一步研究针对腺肌病患者的定制VTE预防方法.
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