Saluja Manmeet, Gilling Peter
Department of Urology, Auckland City Hospital, Auckland, New Zealand.
Department of Urology, Tauranga Hospital, Tauranga, New Zealand.
Int J Urol. 2017 Aug;24(8):589-593. doi: 10.1111/iju.13399. Epub 2017 Jul 25.
Venous thromboembolism is potentially a lethal problem, and is associated with chronic morbidity. Venous thromboembolism is frequently diagnosed after urological surgery, yet the role of perioperative venous thromboembolism prophylaxis is not clearly defined. Any current recommendations are largely based on evidence derived from other surgical specialties. Even within different guidelines, there remains significant variation, suggesting a consensus is required. The present review aims to define the problem of venous thromboembolism within the urological population, and identifies patients at risk. It evaluates the role of various types of mechanical and pharmacological prophylaxis, along with its timing and duration of administration in common urological operations. The current guidelines are summarized and compared in order to give the reader a better perspective of this vital condition.
静脉血栓栓塞症可能是一个致命问题，并与慢性发病相关。静脉血栓栓塞症常在泌尿外科手术后被诊断出来，但围手术期静脉血栓栓塞症预防措施的作用尚未明确界定。目前的任何建议很大程度上都基于其他外科专业获得的证据。即使在不同的指南中，也存在显著差异，这表明需要达成共识。本综述旨在明确泌尿外科患者群体中静脉血栓栓塞症的问题，并识别有风险的患者。它评估了各种类型的机械和药物预防措施的作用，以及其在常见泌尿外科手术中的给药时机和持续时间。对当前指南进行了总结和比较，以便让读者更好地了解这一重要病症。
