Jin L, Shen K, Lang J
Beijing Union Hospital, Chinese Academy of Medical Sciences, Beijing Union Medical College, Beijing 100730.
Zhonghua Fu Chan Ke Za Zhi. 1999 Aug;34(8):488-90.
To describe the clinical profile of deep venous thrombosis (DVT) after operation on pelvic tumours and to study how to choose the methods of diagnosis, treatment and prevention of DVT.
The clinical characteristics, the methods of diagnosis, treatment and prevention of 11 cases with DVT and 18 cases with the tendency to DVT were analyzed retrospectively.
Old age, fatness and oringinal pelvic malignant tumours were the high risk factors for postoperative DVT. Especially the patients with endometrial carcinoma were with the high incidence of DVT. Colour-code Doppler ultrasonography was the best choice to diagnose DVT. Heparin or low molecule weight heparin (LMWH) anticoagulation was effective treatment in postoperative DVT.
Old age, fatness and gynecologic malignant tumours should be considered as highrisk factors for postoperative DVT. Preoperative or postoperative prophylatic treatment of DVT should be considered in high risk population. Anticoagulation was effective in postoperative DVT.
描述盆腔肿瘤手术后深静脉血栓形成（DVT）的临床特征，并研究如何选择DVT的诊断、治疗及预防方法。
回顾性分析11例DVT患者及18例有DVT倾向患者的临床特点、诊断、治疗及预防方法。
高龄、肥胖及原发性盆腔恶性肿瘤是术后DVT的高危因素。尤其是子宫内膜癌患者DVT发生率高。彩色多普勒超声是诊断DVT的最佳选择。肝素或低分子肝素（LMWH）抗凝是术后DVT的有效治疗方法。
高龄、肥胖及妇科恶性肿瘤应被视为术后DVT的高危因素。高危人群应考虑术前或术后预防性治疗DVT。抗凝治疗对术后DVT有效。
