论文部分内容阅读
目的探讨血栓性浅静脉炎(STP)的不同病因,以期筛查出以STP为表现的隐匿性疾病。方法回顾性分析2008年10月至2016年10月郑州人民医院周围血管外科的131例STP患者的不同病因。除血栓性闭塞脉管炎、损伤(40例)外,将其他91例病因分为A组和B组,其中A组为较常见引起STP的单纯性下肢静脉曲张79例,B组为引起STP不常见的原发疾病(凝血功能异常、抗磷脂抗体综合征、恶性肿瘤)12例。比较2组患者静脉血栓栓塞症(VTE)的发生率,探讨不同病因对形成VTE的影响,分析不同病因与STP的关系。结果多种疾病均有STP的表现,比较A组与B组的VTE发生率,B组VTE的发生率明显增加,差异有统计学意义(P<0.05)。结论 STP更像是一种临床症状而不是作为单一疾病存在,重视STP病因的筛查,早期诊断出隐匿性疾病,可以预防严重的VTE发生。
Objective To investigate the different etiologies of thrombophlebitis (STP) in order to screen the occult disease characterized by STP. Methods Retrospective analysis of the different causes of 131 STP patients in the department of vascular surgery around Zhengzhou People’s Hospital from October 2008 to October 2016. In addition to thrombotic occlusive vasculitis, injury (40 cases), the other 91 cases were divided into group A and group B, in which group A was the more common STP caused by simple lower extremity varicose in 79 cases, group B was caused by STP Common primary disease (abnormal coagulation, antiphospholipid antibody syndrome, malignant tumor) in 12 cases. The incidence of venous thromboembolism (VTE) in two groups was compared to explore the influence of different etiologies on the formation of VTE. The relationship between different etiologies and STP was analyzed. Results There were STP manifestations in various diseases. Compared with the incidence of VTE in group A and group B, the incidence of VTE in group B was significantly increased (P <0.05). Conclusions STP is more like a clinical symptom than a single disease. It emphasizes the screening of the cause of STP. Early diagnosis of occult disease can prevent the occurrence of severe VTE.