彩色多普勒超声在妇科术后下肢深静脉血栓预防中的作用.PDFVIP

# 1624 # 2009 25 9 Chin J Med Imaging Technol, 2009, Vol 25, No 9 Value of color Doppler ultrasonography in prevention of lower extremity deep venous thrombosis after gynecological surgery 1 1* 1 1 2 2 LIAN GX iao-ning , G UORui-j un , X UTao , ZHAI Jun-xiu , YAN G Bai-liu , ZHAN G Zhen-yu (1. ep artment of Ultrasound, 2. ep artment of Gynaecology and Obstetrics, Beij ing Chaoyang H osp ital Af f iliated to Cap ital University of Medical Sciences, Beij ing 100020, China) [Abstract] Objective T o observe the effectiveness of intermittent pneumatic compression (IPC) and low-molecular-weight heparin ( MWH) medication for the prevention of lower extremity deep vein thrombosis ( EDVT ) w ith color Doppler ul- trasonography after gynecological pelvic surgeries. Metheds A total of 219 patients w ho received pelvic surgery because of gynecopathy w ere divided into 3 groups randomly according to the risk levels for thrombo-embolism: group A w ith no pre- vention strategy as control group; prevent ion group: group B using IPC to prevent EDVT and group C using MWH to prevent EDVT . Color Doppler ultrasonography was performed to scan the low er extremities 1 day before operation and 2 days aft er operation. Dynam ic observation was continued if there w as thrombosis. Rusults The morbidity of EDVT w as 11.64% in group A, 41 11% in group B and 01 68% in group C, morbidity in group w ith prevention reduced obviously than that in group w ithout prevention (P 01 0001) ; there w as no difference betw een group B and C ( P= 01 06) . The DVT ratio of high risk cases in group A was 421 86% , moderate risk cases was 51 88% and low risk cases