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髋关节镜手术期间深静脉血栓形成(DVT)的发生率。

The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery.

作者信息

Fukushima Kensuke, Takahira Naonobu, Uchiyama Katsufumi, Moriya Mitsutoshi, Minato Tsuyoki, Takaso Masashi

机构信息

Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Department of Rehabilitation, Kitasato University School of Allied Health Sciences, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

出版信息

Arch Orthop Trauma Surg. 2016 Oct;136(10):1431-5. doi: 10.1007/s00402-016-2508-7. Epub 2016 Jul 11.

Abstract

INTRODUCTION

The use of hip arthroscopy has been widely increasing. Although deep vein thrombosis (DVT) is thought to be a serious complication of orthopaedic surgery, there were few reports discussing DVT related to hip arthroscopic surgery. This study aimed to investigate the incidence and risk factors of DVT related to hip arthroscopic surgery.

MATERIALS AND METHODS

This retrospective study included 72 patients. Clinical diagnosis of DVT was confirmed through ultrasonography performed preoperatively and 3 days postoperatively. Additionally, D-dimer levels were measured preoperatively and on postoperative days 1, 3, and 7. Age, body mass index, operation time, procedure type, and D-dimer levels were statistically compared between the two groups (identified DVT vs. no identified DVT).

RESULTS

Five patients (6.94 %) were diagnosed with DVT clinically, although all cases were asymptomatic. The mean age of the patients with identified DVT was 62.0 ± 6.1 years; significantly higher than the mean age of the patients without DVT (45.1 ± 1.7 years; P = 0.0188).

CONCLUSION

The incidence of DVT during hip arthroscopy, investigated by ultrasound, was 6.94 %. From our results, we recommend screening for and treatment of asymptomatic DVT, especially in older patients, during hip arthroscopic surgery.

摘要

引言

髋关节镜检查的应用一直在广泛增加。尽管深静脉血栓形成(DVT)被认为是骨科手术的一种严重并发症,但很少有报告讨论与髋关节镜手术相关的DVT。本研究旨在调查与髋关节镜手术相关的DVT的发生率和危险因素。

材料与方法

这项回顾性研究纳入了72例患者。通过术前和术后3天进行的超声检查确诊DVT的临床诊断。此外,在术前以及术后第1、3和7天测量D-二聚体水平。对两组(确诊DVT组与未确诊DVT组)的年龄、体重指数、手术时间、手术类型和D-二聚体水平进行统计学比较。

结果

5例患者(6.94%)临床诊断为DVT,尽管所有病例均无症状。确诊DVT患者的平均年龄为62.0±6.1岁;显著高于未发生DVT患者的平均年龄(45.1±1.7岁;P = 0.0188)。

结论

通过超声检查,髋关节镜检查期间DVT的发生率为6.94%。根据我们的结果,我们建议在髋关节镜手术期间对无症状DVT进行筛查和治疗,尤其是在老年患者中。

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