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妇科肿瘤术后深静脉血栓形成的发生率

Incidence of post-operative deep vein thrombosis in gynaecological oncology.

作者信息

Crandon A J, Koutts J

出版信息

Aust N Z J Obstet Gynaecol. 1983 Nov;23(4):216-9. doi: 10.1111/j.1479-828x.1983.tb00581.x.

DOI:10.1111/j.1479-828x.1983.tb00581.x
PMID:6585196
Abstract

Using 125I-fibrinogen scanning the incidence of post-operative DVT amongst patients with gynaecological malignancy was shown to be 37.9% which is substantially higher than the 10% to 15% expected in a general gynaecological population. Twenty per cent of the total group studied had isotopic evidence of bilateral venous thrombosis post-operatively. The inaccuracy of clinical diagnosis was demonstrated, and also the need to investigate both limbs if thrombosis was suspected. The incidence of post-operative DVT was found to be significantly lower in smokers (11.5%) compared with non-smokers (68.4%) (p less than 0.00025).

摘要

通过使用125I-纤维蛋白原扫描,发现妇科恶性肿瘤患者术后深静脉血栓形成(DVT)的发生率为37.9%,这大大高于普通妇科人群预期的10%至15%。在整个研究组中,20%的患者术后有双侧静脉血栓形成的同位素证据。研究证实了临床诊断的不准确性,以及如果怀疑有血栓形成需要对双下肢进行检查。结果发现,吸烟者术后DVT的发生率(11.5%)明显低于非吸烟者(68.4%)(p<0.00025)。

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