妇产科术后下肢血栓性静脉炎临床分析.docVIP

妇产科术后下肢血栓性静脉炎临床分析 【摘要】目的：通过分析36例妇产科术后下肢血栓性静脉炎临床资料，探讨妇产科术后患者发生血栓相关因素及治疗优化方案。方法：回顾36例术后下肢血栓性静脉炎的妇产科患者资料，对其年龄、体重、手术时间、术后发生血栓时间、病种、部位、治疗方法、疗效等进行分析。结果：41～50岁年龄段术后发生血栓患者最多，但同其他年龄段相比差异无统计学意义(P0.05);体重71～80 kg患者发生血栓者，占50%，同其他体重段患者相比差异有统计学意义(P0.05);不同手术时间相比差异无统计学意义(P0.05);术后5～10 d易发生血栓，同其他时段相比差异有统计学意义(P0.05);子宫肌瘤同其他病种相比差异有统计学意义(P0.05);单下肢发生血栓率同双下肢相比差异有统计学意义(P0.01)，且左下肢同右下肢相比差异也有统计学意义(P0.05);综合疗法有效率同手术、抗凝+溶栓法相比差异有统计学意义(P0.05)。结论：妇产科术后发生下肢血栓性静脉炎同体重、原发病有一定联系，术后5～10 d易发生血栓，且左下肢好发，而同年龄、手术耗时无直接联系，治疗方面以综合疗法最有效，临床值得推广。 【关键词】 下肢血栓性静脉炎;妇产科手术;并发症;相关因素 [ABSTRACT] Objective： To explore factors related to occurrence of thrombosis in women that underwent surgery due to obstetric and gynecological diseases in order to find out an optimum treatment. Methods： Data of 36 cases suffering from thrombophlebitis of lower extremities after surgery was retrospectively analyzed， including age， weight， surgery time， time for occurrence of thrombophlebitis， primary diseases， location， treatment， and clinical efficiency. Results： Thrombophlebitis occurred most frequently among those aged 41-50， but no significant differences was shown when it was compared with those at other age group (P0.05). 50% thrombophlebitis occurred in those having weight of 71-80 kg， thrombophlebitis occurred most frequently 5-10 days after surgery， and in those with hysteromyoma， all showing significant difference when comparing with other groups (P all 0.05). Incidence of thrombosis occurred in single lower extremity was significant different that occurred in both lower extremities (P0.01)， specifically， thrombosis in left lower extremity was significant different from that in right lower extremity (P0.05); the effective rates of comprehensive therapy was significant different from that of surgery or anticoagulation + thrombolysis therapy (P0.05). Conclusions： Occurrence of postoperative thrombophlebitis in women underwent surgery due to obstetric and gynecological diseases is related to patientsprime; weight， primary diseas