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[尽管采取了药物预防措施,但仍试图确定髋关节置换术后静脉血栓栓塞的主要危险因素]

[The attempt of identification of the essentials risk factors of venous thromboembolism after hip arthroplasty despite of pharmacological prophylaxis].

作者信息

Radziejewicz Paweł, Gregosiewicz Andrzej, Bednarek Andrzej, Siczek Maciej

机构信息

Oddział Urazowo-Ortopedyczny, Wojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego w Lublinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2010 Jul-Aug;75(4):242-7.

Abstract

Hip arthroplasty is of particular great risk of venous thromboembolism (VTE). The objective of this study was to identify the risk factors of VTE and the analysis of their influence on VTE appear. There were 213 patients after hip arthroplasty in the investigation group. VTE occurred in 15 patients (7.04%).We found Deep Venous Thrombosis (DVT) in eight patients (3.75%) and Pulmonary Embolism (PE) in seven (3.3%). The analysis showed statistically real dependence on patient age, obesity, veins varicoses of lower extremity and VTE occur. We also showed the significant influence of the time of the leg ultraposition time during the surgery on the frequency of VTE episodes, which hasn't been described jet in accessible literature. It is the only risk factor which may be limited by simply modification of surgery technique.

摘要

髋关节置换术发生静脉血栓栓塞症(VTE)的风险尤其高。本研究的目的是确定VTE的风险因素并分析其对VTE发生的影响。研究组有213例髋关节置换术后患者。15例患者(7.04%)发生了VTE。我们发现8例患者(3.75%)出现深静脉血栓形成(DVT),7例患者(3.3%)出现肺栓塞(PE)。分析显示,患者年龄、肥胖、下肢静脉曲张与VTE的发生在统计学上存在实际关联。我们还表明,手术期间腿部摆放时间对VTE发作频率有显著影响,这在现有文献中尚未有描述。这是唯一可通过简单改变手术技术来控制的风险因素。

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