Bui My Hanh, Hung Duong Duc, Vinh Pham Quang, Hiep Nguyen Hoang, Anh Le Lan, Dinh Toi Chu
Tuberculosis and Lung Disease Faculty, Hanoi Medical University, Hanoi, Vietnam.
Department of General Administration, Bach Mai Hospital, Hanoi, Vietnam.
Open Access Maced J Med Sci. 2019 Dec 20;7(24):4250-4254. doi: 10.3889/oamjms.2019.369. eCollection 2019 Dec 30.
Deep venous thrombosis (DVT) is a prevalent complication of orthopedic surgery. According in many studies. The incidence of DVT may be up to 50% if thromboprophylaxis is not available.
The objective of this study was to check the degree of disease, clinical characteristics and analyzed factors in vulnerabilities with lower-limp DVT after orthopedic surgery in a Vietnam teaching hospital.
Orthopedic patients who met criteria were recruited at our hospital between August 2017 and June 2018. Ultrasound was used to discovering lower-limp DVT in pre-surgery and 7 days after surgery in all patients.
The incidence of DVT after orthopedic surgery was 7.2%. Patients with older age (> 60) have a risk of 2 times higher of DVT after surgery than normal people (p < 0.05). The incidence of postoperative DVT was higher in immobile individuals > 72 hours (p < 0.05). Patients with prolonged surgical time (>120 minutes) had a higher risk of postoperative DVT than non-surgical patients' surgery (p < 0.05).
DVT remains a common complication following orthopedic surgery. Older age, immobility status, and surgical time have been found to be risky factors for the development of postoperative lower-limp DVT in orthopedic patients.
深静脉血栓形成（DVT）是骨科手术中常见的并发症。根据许多研究，如果不采取血栓预防措施，DVT的发生率可能高达50%。
本研究的目的是在越南一家教学医院检查骨科手术后下肢DVT的疾病程度、临床特征及易患因素。
2017年8月至2018年6月期间，在我院招募符合标准的骨科患者。对所有患者在术前及术后7天使用超声检查下肢DVT。
骨科手术后DVT的发生率为7.2%。年龄较大（>60岁）的患者术后发生DVT的风险是正常人的2倍（p<0.05）。术后72小时以上活动受限的患者DVT发生率更高（p<0.05）。手术时间延长（>120分钟）的患者术后发生DVT的风险高于非手术患者（p<0.05）。
DVT仍然是骨科手术后常见的并发症。年龄较大、活动受限状态和手术时间被发现是骨科患者术后下肢DVT发生的危险因素。
