关节镜下半月板根部修复术后深静脉血栓形成：一例报告
Deep vein thrombosis following arthroscopic meniscal root repair: A case report.
作者信息
Chavalparit Piya, Chuaychoosakoon Chaiwat, Parinyakhup Wachiraphan, Boonriong Tanarat
机构信息
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla 90110, Thailand.
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla 90110, Thailand.
出版信息
Int J Surg Case Rep. 2021 Aug;85:106193. doi: 10.1016/j.ijscr.2021.106193. Epub 2021 Jul 10.
INTRODUCTION
Deep vein thrombosis (DVT) following arthroscopic surgery is a rare condition, especially arthroscopic meniscal surgery. There have been three reported cases of DVT after arthroscopic meniscal procedure, all related to arthroscopic meniscectomy. In this study, we reported the first case of symptomatic DVT at the level of the femoral vein to the popliteal vein following arthroscopic meniscal root repair.
CASE PRESENTATION
The case was a 55-year-old Thai female who presented with left knee pain for 2 months after a fall. She was diagnosed as left medial meniscal root injury and had had an arthroscopic meniscal root repair. At 6 weeks post-operatively, she developed left leg swelling without pain. She was diagnosed as DVT and was initially treated with enoxaparin for three days then warfarin for three months.
CONCLUSION
We report a case of symptomatic DVT that extended from the femoral vein to the popliteal vein after arthroscopic meniscal root repair. The risks of DVT following arthroscopic surgery are aged more than 40 years old and tourniquet time more than 60 min.
引言
关节镜手术后发生深静脉血栓形成（DVT）是一种罕见情况，尤其是关节镜半月板手术。已有3例关节镜半月板手术后发生DVT的报道，均与关节镜半月板切除术有关。在本研究中，我们报告了首例关节镜半月板根部修复术后出现股静脉至腘静脉水平有症状DVT的病例。
病例介绍
该病例为一名55岁泰国女性，跌倒后左膝疼痛2个月。她被诊断为左内侧半月板根部损伤，并接受了关节镜半月板根部修复术。术后6周，她出现左腿肿胀但无疼痛。她被诊断为DVT，最初接受依诺肝素治疗3天，然后接受华法林治疗3个月。
结论
我们报告了一例关节镜半月板根部修复术后从股静脉延伸至腘静脉的有症状DVT病例。关节镜手术后DVT的风险因素为年龄超过40岁和止血带使用时间超过60分钟。
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