在选择性上肢手术后,对上肢深静脉血栓的预防策略:系统性审查
Aeshah Salem Alsharidah1, Alya Ali Aljubran2, Maha Alkharisi3
1King Abdulaziz Hospital, Ministry of National Guard Health Affairs, Al Ahsa 36428, Saudi Arabia.
Clinics and practice
|December 24, 2025
概括
在手术后预防上肢深静脉血栓症 (UEDVT) 是复杂的. 血栓预防治疗没有显著影响降低UEDVT的发生率,老年和创伤是关键的风险因素.
科学领域:
- 血管外科 血管外科
- 血栓形成研究研究
- 基于证据的医学基于证据的医学.
背景情况:
- 上肢深静脉血栓塞 (UEDVT) 是选择性上肢手术后的一种严重并发症.
- 目前针对UEDVT的预防策略需要进一步评估其有效性.
研究的目的:
- 系统地审查和量化UEDVT预防干预措施的有效性.
- 为了确定与UEDVT发生率相关的因素,在接受选择性上肢手术的患者中.
主要方法:
- 在多个数据库 (PubMed,EMBASE,Cochrane等) 进行系统的文献搜索. ) 的情况.
- 包括随机对照试验,队列研究和成人患者接受选择性上肢手术的病例控制研究.
- 包含的研究的质量评估,并注意到显著的异质性.
主要成果:
- 包括六项质量良好但异质性较高的研究.
- 报告的症状性静脉血栓塞栓症 (VTE) 的发生率在0.41%至13%之间.
- 血栓预防没有显著影响深静脉血栓症 (DVT) 发生率;老年和创伤被确定为危险因素.
结论:
- 预防UEDVT选拔后的上肢手术是复杂的,需要进一步调查.
- 目前的证据表明,血栓预防可能不会显著降低UEDVT的发生率.
- 研究中的大量异质性需要更多的研究来澄清血栓预防的作用,并确定有效的预防策略.
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