日本患者髋膝关节置换术后深静脉血栓形成的发生率：一项前瞻性研究。
The incidence of deep vein thrombosis after hip and knee arthroplasties in Japanese patients: a prospective study.
作者信息
Sudo A, Sano T, Horikawa K, Yamakawa T, Shi D, Uchida A
机构信息
Department of Orthopaedic Surgery, Mie University Faculty of Medicine, 2-174 Edobashi, Tsu City, Mie Prefecture 514-8507, Japan.
出版信息
J Orthop Surg (Hong Kong). 2003 Dec;11(2):174-7. doi: 10.1177/230949900301100212.
PURPOSE
To document the incidence of proximal deep vein thrombosis and pulmonary embolism in 58 consecutive Japanese patients undergoing total hip arthroplasty or total knee arthroplasty.
METHODS
Patients were routinely examined for proximal deep vein thrombosis by B-mode ultrasonography before and after surgery. Those patients who had ultrasonographic findings of deep vein thrombosis were also investigated for pulmonary embolism by ventilation-perfusion lung scan.
RESULTS
The incidence of deep vein thrombosis after total hip arthroplasty and total knee arthroplasty were 9.1% and 4.0% respectively, and the incidence of pulmonary embolism were 3.0% and 0%, respectively. There were no cases of fatal pulmonary embolism.
CONCLUSION
The incidence of deep vein thrombosis and pulmonary embolism in Japanese patients may have increased over the last few decades.
目的
记录58例连续接受全髋关节置换术或全膝关节置换术的日本患者近端深静脉血栓形成和肺栓塞的发生率。
方法
患者在手术前后常规通过B型超声检查近端深静脉血栓形成。对那些超声检查发现深静脉血栓形成的患者，还通过通气-灌注肺扫描检查肺栓塞。
结果
全髋关节置换术后和全膝关节置换术后深静脉血栓形成的发生率分别为9.1%和4.0%，肺栓塞的发生率分别为3.0%和0%。无致命性肺栓塞病例。
结论
在过去几十年中，日本患者深静脉血栓形成和肺栓塞的发生率可能有所增加。
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