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目的分析妇科腹腔镜手术后引发深静脉血栓形成(DVT)的主要危险因素,以预防DVT的发生。方法 2010年2月至2013年3月64例妇科腹腔镜手术后DVT患者为观察组。另选择同期200例妇科腹腔镜手术后未发生DVT者作为对照组。分析DVT的主要危险因素。结果观察组手术时间≥1 h占56.25%,手术体位为头高足低位占59.38%,恶性肿瘤占34.38%,术前有其他合并症者占65.62%,均分别高于对照组的31.00%、32.50%、19.00%、45.00%(P<0.01或P<0.05);观察组年龄、术后止血药剂量均高于对照组(P<0.01或P<0.05)。Logistic回归性分析显示上述因素均为DVT发生的主要危险因素。结论妇科腹腔镜手术后导致DVT的主要危险性因素有手术时间≥1 h、手术体位为头高足低位、恶性肿瘤、术后止血药剂量高,以及术前有其他合并症等。临床上应对上述因素加强预防,以减少DVT的发生。
Objective To analyze the main risk factors of deep vein thrombosis (DVT) after gynecological laparoscopic surgery to prevent the occurrence of DVT. Methods From February 2010 to March 2013, 64 patients with DVT after gynecological laparoscopic surgery were observed. Another choose the same period 200 cases of gynecological laparoscopic DVT did not occur as a control group. Analysis of the main risk factors for DVT. Results The operation time of the observation group was 56.25% ≥1 h, the height of the operation group was 59.38%, the malignant tumor was 34.38%, and the percentage of other complications was 65.62%, which were respectively higher than 31.00% of the control group. 32.50%, 19.00% and 45.00%, respectively (P <0.01 or P <0.05). The age and postoperative hemostatic dose in the observation group were higher than those in the control group (P <0.01 or P <0.05). Logistic regression analysis showed that the above factors were the main risk factors of DVT. Conclusions The main risk factors of DVT after gynecological laparoscopic surgery are operation time ≥ 1 h, operation position of head high and low level, malignant tumor, high dose of hemostatic medicine after operation, and other preoperative complication. Clinically, we should strengthen the prevention of these factors in order to reduce the incidence of DVT.