Kim Du-Han, Na Sang-Soo, Park Ui-Jun, Cho Chul-Hyun
Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubul-ro, Dalseo-gu, Daegu 42601, Republic of Korea.
Department of Vascular Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubul-ro, Dalseo-gu, Daegu 42601, Republic of Korea.
Diagnostics (Basel). 2023 Feb 8;13(4):636. doi: 10.3390/diagnostics13040636.
The aims of this study were to examine the incidence, risk factors, and outcomes of deep vein thrombosis (DVT) after shoulder arthroplasty in Korean patients. A total of 265 patients who underwent shoulder arthroplasty were included. The mean age of the patients was 74.6 years, and there were 195 females and 70 males. Clinical data including patient demographics, blood tests, and previous and current medical history were investigated. For screening of DVT, duplex ultrasonography of the operative arm was performed 2 to 5 days after surgery. Of the 265 patients, 10 patients (3.8%) were diagnosed with DVT using postoperative duplex ultrasonography. There were no cases of pulmonary embolism. There were no significant differences between the DVT and no DVT groups regarding all clinical data, except for the Charlson comorbidity index (CCI), which was significantly higher in the DVT group than in the no DVT group (5.0 vs. 4.1; = 0.029). All patients had asymptomatic DVT that showed complete resolution after administration of antithrombotic agents or close observation without medications. The overall incidence of DVT was 3.8% during a period of 3 months after shoulder arthroplasty in Korean patients, and most cases were asymptomatic. Routine screening for DVT using duplex ultrasonography after shoulder arthroplasty may not be necessary except in patients with high CCI.
本研究的目的是调查韩国患者肩关节置换术后深静脉血栓形成（DVT）的发生率、危险因素及预后。共纳入265例行肩关节置换术的患者。患者的平均年龄为74.6岁，其中女性195例，男性70例。调查了包括患者人口统计学、血液检查以及既往和当前病史在内的临床资料。为筛查DVT，术后2至5天对手术侧上肢进行双功超声检查。在265例患者中，10例（3.8%）通过术后双功超声检查被诊断为DVT。无肺栓塞病例。除Charlson合并症指数（CCI）外，DVT组和非DVT组在所有临床资料方面均无显著差异，DVT组的CCI显著高于非DVT组（5.0对4.1；P = 0.029）。所有患者均有无症状DVT，在给予抗血栓药物或密切观察（未用药）后均完全缓解。韩国患者肩关节置换术后3个月内DVT的总体发生率为3.8%，且大多数病例无症状。除CCI高的患者外，肩关节置换术后使用双功超声对DVT进行常规筛查可能没有必要。
