在妇科癌症的微创手术后出现症状和无症状的静脉血栓栓塞
Michiko Kubo-Kaneda1, Hanano Hirota2, Saki Kotaka1
1Department of Obstetrics and Gynecology, Mie University School of Medicine, Tsu-city, Japan.
The journal of obstetrics and gynaecology research
|August 23, 2025
概括
妇科癌症的微创手术显示静脉血栓塞栓症 (VTE) 的发生率较低. 长时间的手术可能会增加肺栓塞 (PE) 的风险,因此在长时间的手术中需要谨慎.
科学领域:
- 妇科瘤学
- 外科瘤学
- 血栓形成研究
背景情况:
- 静脉血栓塞栓症 (VTE) 是妇科癌症手术的一个重要问题.
- 至少侵入性手术 (MIS) 越来越多地用于妇科癌症,但需要评估VTE风险.
- 了解VTE发生率和风险因素对于患者的安全至关重要.
研究的目的:
- 为了确定MIS后妇科癌症的症状和无症状VTE的频率.
- 在该患者群体中确定肺栓塞 (PE) 的危险因素.
- 为了比较MIS和妇科癌症的开放手术之间的VTE率.
主要方法:
- 对接受MIS或开放性手术的子宫内膜,子宫或卵巢癌患者的回顾性分析 (2012-2021年).
- 排除需要转换为开放手术的患者.
- 进行了标准的静脉瘤预防,包括抗凝药,气动压缩和子.
主要成果:
- 在MIS组中,静脉突发症的发病率较低 (DVT和PE组合为1. 8%).
- 在MIS和开放手术组之间没有观察到DVT或PE率的显著差异.
- 超过6小时的手术时间被确定为PE的危险因素 (p=0. 034).
结论:
- 妇科癌症的MIS与静脉瘤发病率较低有关.
- 适当的抗凝策略有效地降低了MIS和开放手术中的VTE率.
- 对于妇科癌症而言,MIS的延长操作时间需要仔细管理VTE风险.
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