Tulane University School of Medicine, New Orleans, Louisiana.
Department of Orthopaedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.
JBJS Rev. 2024 Mar 11;12(3). doi: e23.00228. eCollection 2024 Mar 1.
» Venous thromboembolism (VTE) after shoulder arthroscopy is rare (0.01%-0.38%) but impacts a significant number of patients because of the high procedure volume.» Studies found no significant benefit in reducing VTE risk with aspirin or low-molecular-weight heparins.» Current guidelines for thromboprophylaxis in shoulder arthroscopy lack consensus and need patient-specific considerations.» Further research is required to develop evidence-based thromboprophylaxis guidelines for shoulder arthroscopy.
» 肩关节镜术后静脉血栓栓塞症(VTE)较为罕见(0.01%-0.38%),但由于肩关节镜手术数量巨大,仍有大量患者受到影响。» 研究发现,阿司匹林或低分子肝素并不能显著降低 VTE 风险。» 目前肩关节镜手术抗栓治疗指南缺乏共识,需要考虑患者的具体情况。» 因此,需要进一步研究以制定基于证据的肩关节镜手术抗栓治疗指南。