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乳腺癌手术后D-二聚体水平升高的危险因素分析:一项基于护理随访数据的多中心研究

Analysis of the Risk Factors for Elevated D-Dimer Level After Breast Cancer Surgery: A Multicenter Study Based on Nursing Follow-Up Data.

作者信息

Wang Yanqiu, Liang Xi, Wang Shujun, Wang Yuying, Qin Ling, Chen Danni, Jiang Yanlin, Zhang Hao

机构信息

Department of Breast Surgery, Second Hospital of Dalian Medical University, Dalian, China.

Department of Obstetrics and Gynecology, Second Hospital of Dalian Medical University, Dalian, China.

出版信息

Front Oncol. 2022 Jul 19;12:772726. doi: 10.3389/fonc.2022.772726. eCollection 2022.

Abstract

D-dimer level is often used to assess the severity of trauma as well as the risk of thrombosis. This study investigated the risk factors for high postoperative D-dimer level. This study included a total of 2706 patients undergoing breast cancer surgery to examine the associations between various clinicopathological factors and variation in D-dimer levels. After adjusting for other factors, T stage, neoadjuvant chemotherapy, blood loss, surgery type, diabetes, and elevated leukocyte and neutrophil counts were found to be significant risk factors for D-dimer variation. This study identified several factors associated with elevated D-dimer levels and consequent thrombosis after breast cancer surgery, which may aid in the development of more precise preventive measures and interventions as well as serve as a reference for future research.

摘要

D-二聚体水平常被用于评估创伤的严重程度以及血栓形成的风险。本研究调查了术后D-二聚体水平升高的危险因素。本研究共纳入2706例接受乳腺癌手术的患者,以检验各种临床病理因素与D-二聚体水平变化之间的关联。在对其他因素进行校正后,发现T分期、新辅助化疗、失血量、手术类型、糖尿病以及白细胞和中性粒细胞计数升高是D-二聚体变化的显著危险因素。本研究确定了几个与乳腺癌手术后D-二聚体水平升高及随后血栓形成相关的因素,这可能有助于制定更精确的预防措施和干预措施,并为未来的研究提供参考。

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