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目的探讨妇科手术后静脉血栓性疾病(VTE)的发生率、危险因素及其诊断和治疗。方法回顾性分析我院2008年1月~2013年1月普妇科、妇瘤科术后发生静脉血栓性疾病(VTE)患者19例,其中下肢静脉血栓(DVT)18例,肺栓塞(PE)1例。结果 18例患者均以下肢疼痛、站立或活动后加剧为首发症状,腓肠肌握痛阳性,实验室检查出现D-二聚体升高,先予以诊断性治疗,自觉症状好转后行彩色多普勒超声血流显像检查(CDFI)证实静脉血栓形成。结论妇科手术具备形成静脉血栓性疾病(VTE)致病因素,围手术期加强术后下肢静脉血栓形成的预防措施,规范化治疗可显著改善预后。早期诊断、及时治疗愈后好。
Objective To investigate the incidence, risk factors and diagnosis and treatment of venous thrombosis (VTE) after gynecological surgery. Methods Nineteen patients with venous thrombosis (VTE) after gynecologic surgery were retrospectively analyzed from January 2008 to January 2013 in our hospital. There were 18 cases of venous thrombosis (DVT), 18 cases of pulmonary embolism (PE) 1 case. Results Eighteen patients suffered from lower extremity pain, exacerbation of standing or activity as the first symptom, positive gastrocnemius holding pain, elevated D-dimer in laboratory examination, first diagnosis and treatment, improvement of symptoms and improvement of color Doppler Ultrasound flow imaging (CDFI) confirmed venous thrombosis. Conclusion Gynecologic surgery has the risk factors for the formation of venous thrombosis (VTE), prophylaxis for postoperative venous thrombosis in the perioperative period, and standardized treatment can significantly improve the prognosis. Early diagnosis, timely treatment of the better.