Department of Urology, Dongguan Songshan Lake Central Hospital, 523770 Dongguan, Guangdong, China.
Department of Cerebral Surgery, Dongguan Songshan Lake Central Hospital, 523770 Dongguan, Guangdong, China.
Ann Ital Chir. 2024;95(2):174-180. doi: 10.62713/aic.3308.
Deep vein thrombosis (DVT), a frequent complication following percutaneous nephrolithotomy (PCNL), may lead to severe conditions like pulmonary embolism. Current knowledge on postoperative DVT risk factors is, however, limited. The aim of our study was to investigate the risk of DVT after PCNL.
A retrospective study was conducted on patients who underwent PCNL from March 2020 to March 2023 at our institution. Patient demographics and clinical data, including, DVT-specific information, preoperative labs, and surgical details, was evaluated.
One hundred patients were included. Thirty-two (20 males, 12 females, mean age 52.5 ± 7.4 years) developed lower limb DVT post-surgery, while the remaining 68 (48 males, 20 females, mean age 51.1 ± 5.5 years) had no DVT symptoms. Analysis revealed significant correlations between hyperlipidemia, operating time, postoperative bed rest duration, D-dimer level on the first day after surgery, Caprini risk assessment model (RAM) score, and DVT risk. D-dimer on the first day after percutaneous nephrolithotomy, postoperative bed rest time and Caprini RAM scores were independent risk factors for DVT after PCNL. Sex, age, hypertension status, diabetes status and smoking and drinking habits were not significantly associated with DVT risk.
D-dimer on the first day after PCNL, postoperative bed rest time and Caprini RAM scores were independent risk factors for DVT after PCNL.
经皮肾镜碎石取石术（PCNL）后深静脉血栓（DVT）是一种常见的并发症，可能导致严重的情况，如肺栓塞。然而，目前对术后 DVT 危险因素的了解有限。我们的研究目的是调查 PCNL 后 DVT 的风险。
对 2020 年 3 月至 2023 年 3 月在我院行 PCNL 的患者进行回顾性研究。评估患者的人口统计学和临床数据，包括 DVT 具体信息、术前实验室检查和手术细节。
共纳入 100 例患者。32 例（20 例男性，12 例女性，平均年龄 52.5±7.4 岁）术后出现下肢 DVT，而其余 68 例（48 例男性，20 例女性，平均年龄 51.1±5.5 岁）无 DVT 症状。分析表明，高血脂、手术时间、术后卧床时间、术后第一天 D-二聚体水平、卡普里风险评估模型（RAM）评分与 DVT 风险之间存在显著相关性。PCNL 后第一天的 D-二聚体、术后卧床时间和卡普里 RAM 评分是 DVT 的独立危险因素。性别、年龄、高血压状态、糖尿病状态、吸烟和饮酒习惯与 DVT 风险无显著相关性。
PCNL 后第一天的 D-二聚体、术后卧床时间和 Caprini RAM 评分是 DVT 的独立危险因素。
