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行肩关节镜检查患者的静脉血栓栓塞症化学预防。

Venous Thromboembolism Chemical Prophylaxis in Patients Undergoing Shoulder Arthroscopy.

机构信息

Tulane University School of Medicine, New Orleans, Louisiana.

Department of Orthopaedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.

出版信息

JBJS Rev. 2024 Mar 11;12(3). doi: e23.00228. eCollection 2024 Mar 1.

Abstract

» 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.

摘要

» 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。

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