微创经椎间孔腰椎椎间融合术后的深静脉血栓形成和肺栓塞：315例手术中的2例报告
Deep Venous Thrombosis and Pulmonary Embolism After Minimally Invasive Transforaminal Lumbar Interbody Fusion: Report of 2 Cases in 315 Procedures.
作者信息
Olinger Catherine R, Gardocki Raymond J
机构信息
Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
出版信息
Orthop Clin North Am. 2020 Jul;51(3):423-425. doi: 10.1016/j.ocl.2020.02.006. Epub 2020 Mar 19.
When the guidelines of the North American Spine Society concerning deep venous thrombosis (DVT) prophylaxis were followed, only 2 (0.63%) of 315 patients with minimally invasive transforaminal lumbar interbody fusions developed DVT complications over a 9-year period. Based on these findings, mechanical DVT prophylaxis appears to be adequate in patients undergoing elective spinal surgery, with no current support for pharmacologic prophylaxis.
当遵循北美脊柱协会关于深静脉血栓形成（DVT）预防的指南时，在9年期间，315例行微创经椎间孔腰椎椎间融合术的患者中只有2例（0.63%）发生了DVT并发症。基于这些发现，对于接受择期脊柱手术的患者，机械性DVT预防似乎是足够的，目前没有证据支持药物预防。
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