[1]陈　峰,蔡　莹,李文军.腹腔镜手术后下肢深静脉血栓形成的危险因素分析[J].新乡医学院学报,2017,34(9):833-835.[doi:10.7683/xxyxyxb.2017.09.014]
　CHEN Feng,CAI Ying,LI Wen-jun.Analysis of risk factors for deep venous thrombosis of lower limbs after laparoscopic surgery[J].Journal of Xinxiang Medical University,2017,34(9):833-835.[doi:10.7683/xxyxyxb.2017.09.014]
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腹腔镜手术后下肢深静脉血栓形成的危险因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年9
页码:
833-835
栏目:
临床研究
出版日期:
2017-09-05

文章信息/Info

Title:
Analysis of risk factors for deep venous thrombosis of lower limbs after laparoscopic surgery
作者:
陈　峰; 蔡　莹; 李文军
（黄冈市中心医院普外科，湖北　黄冈　438000）
Author(s):
CHEN Feng; CAI Ying; LI Wen-jun
（Department of General Surgery，Huanggang Central Hospital，Huanggang 438000，Hubei Province，China）
关键词:
腹腔镜手术; 深静脉血栓形成; D-二聚体
Keywords:
laparoscopic surgery; deep venous thrombosis; D-Dimer
分类号:
R656
DOI:
10.7683/xxyxyxb.2017.09.014
文献标志码:
A
摘要:
目的　探讨腹腔镜手术后下肢深静脉血栓形成（DVT）的危险因素。方法　选取2014年1月至2016年8月于黄冈市中心医院行腹腔镜术患者230例，按照术后下肢是否出现DVT分为DVT组和非DVT组，分析腹腔镜手术后出现下肢DVT的相关危险因素。结果　230例患者中，术后出现下肢DVT者10例，未出现下肢DVT者220例，术后下肢DVT发生率为4.35%（10/230）。Logistic回归分析显示，年龄≥40岁、手术时间≥120 min、术后下床活动时间≥30 h、术中体位为头高脚低位，术后第1天和第3天的血浆D-二聚体水平≥0.5 mg·L-1是腹腔镜术后患者发生下肢DVT的独立危险因素（P<0.05）。结论　腹腔镜手术后下肢DVT具有一定的发病率，DVT的发生与多种因素有关，应针对DVT的相关因素，制定有效的预防措施，以降低腹腔镜手术后DVT发生率。
Abstract:
Objective　To investigate the risk factors for deep vein thrombosis （DVT） of lower limbs after laparoscopic surgery.Methods　A total of 230 patients underwent laparoscopic surgery were selected in Huanggang Central Hospital from January 2014 to August 2016.The patients were divided into DVT group and non-DVT group according to DVT of the lower limbs，and the related risk factors for DVT of lower limbs after laparoscopic surgery were analyzed.Results　In the 230 patients，there were 10 patients with DVT of lower limbs and 220 patients without DVT of lower limbs，the incidence of DVT of lower limbs was 4.35% （10/230）.Logistic regression analysis showed that age ≥40 years old，operation time ≥120 min，postoperative ambulation time ≥30 h，the intraoperative position of high-head and low-foot，plasma D-Dimer level ≥0.5 mg·L-1 were the independent risk factors for DVT of lower limbs after laparoscopic surgery （P<0.05）.Conclusion　There is a certain incidence of DVT of the lower limbs after laparoscopic surgery.The effective prevention measures should be taken to reduce the incidence of DVT after laparoscopic surgery according to the related factors of DVT.

参考文献/References:

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更新日期/Last Update: 2017-09-05