剖宫产术后中国人群深静脉血栓形成的双功超声筛查
Duplex ultrasound screening for deep vein thrombosis in Chinese after cesarean section.
作者信息
Chan L Y-S, Lam K Y M, Metreweli C, Lau T K
机构信息
Department of Obstetrics and Gynecology, The Chinese University of Hong Kong, Princes of Wales Hospital, Shatin, Hong Kong.
出版信息
Acta Obstet Gynecol Scand. 2005 Apr;84(4):368-70. doi: 10.1111/j.0001-6349.2005.00591.x.
BACKGROUND
To evaluate the incidence of asymptomatic deep vein thrombosis (DVT) in Chinese after cesarean section (CS).
METHODS
This is a prospective observational study. Ethnic Chinese women who were asymptomatic for DVT and delivered by CS were included. Duplex ultrasound scan (US) of the lower limbs was carried out 3-7 days after CS.
RESULTS
From July 2000 to March 2001, a total of 93 women were examined. The mean age was 32.1 years (SD 5.0). Forty-nine of 93 CSs were elective (52.7%). The median time from CS to US was 4 days (interquartile range, 4-5 days). No case of DVT was found in these 93 women.
CONCLUSION
The incidence of asymptomatic DVT is low in Chinese women after CS. Routine screening for DVT after CS is not warranted.
背景
评估中国剖宫产术后无症状深静脉血栓形成（DVT）的发生率。
方法
这是一项前瞻性观察性研究。纳入剖宫产分娩且无症状DVT的华裔女性。剖宫产术后3 - 7天进行双下肢超声检查（US）。
结果
2000年7月至2001年3月，共检查93名女性。平均年龄为32.1岁（标准差5.0）。93例剖宫产中有49例为择期剖宫产（52.7%）。从剖宫产到超声检查的中位时间为4天（四分位间距，4 - 5天）。这93名女性中未发现DVT病例。
结论
中国女性剖宫产术后无症状DVT的发生率较低。剖宫产术后无需常规筛查DVT。
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