36例妇科手术后静脉血栓性疾病临床分析.docVIP

36例妇科手术后静脉血栓性疾病临床分析 　　【摘要】 目的：分析与探究由妇科手术造成的静脉血栓性疾病（VTE）的发病率、危险因素，从而找出快速合理的治疗途径。方法：选取本院2007年2月-2012年2月收治的36例VTE患者的临床资料，其中下肢静脉血栓（DTV）35例，肺栓塞（PE）1例，对其进行总结与研究。结果：进行妇科手术的患者患VTE的总几率约为0.27%，其中患恶性肿瘤的患者发生VTE的几率（1.59%）明显高于患良性疾病的患者（0.2%）；患卵巢癌的患者发生VTE的几率（3.43%）明显高于患宫颈癌与子宫内膜癌的患者（0.71%、0.74%）。患者患VTE的几率在通过盆腔淋巴结清扫后可见明显上升。DTV患者确诊方式为彩色多普勒超声检查，PE患者确诊方式为肺血管三维扫描。结论：患者经历妇科盆腔手术后发生VTE的几率较低，但近年来出现了增长的趋势；卵巢癌与盆腔淋巴结清扫术可增加VTE的发生几率；及时确诊与迅速的针对性治疗对VTE患者极为重要。 　　【关键词】 妇科手术； 静脉血栓性疾病 　　36 Cases Clinical Analysis on Venous Thrombosis after Gynecological Operation/HUANG Rong-fang，GUO Hong-liang，ZHANG Yan-ping，et al.//Medical Innovation of China，2014，11（01）：086-088 　　【Abstract】 Objective：To analyze and explore gynecological operation caused by venous thrombotic disease （VTE） risk factors for morbidity，treatment，so as to find out the way of rapid and reasonable.Method：The clinical data of 36 patients with VTE were selected in our hospital from February 2007 to February 2012，including deep vein thrombosis （DTV） in 35 cases，pulmonary embolism （PE） in 1 case，summarized and researched on its.Result：The total rate of gynecological operation in patients suffering from VTE was about 0.27%，the incidence of VTE of malignant tumor patients （1.59%） was higher than the incidence of VTE of benign disease patients（0.02%）.The incidence of VTE in patients with ovarian cancer （3.43%） was higher than the probability of patients with uterine cervical cancer endometrial cancer VTE（0.71%，0.74%）.Probability of patients suffering from VTE in the pelvic lymph node dissection showed obvious rise.DTV patients diagnosed by color doppler ultrasound examination，PE patients diagnosed by pulmonary vascular 3D scanning.Conclusion：The incidence of VTE in patients after gynecological operation is low，but in recent years there has been increasing trend；ovarian carcinoma and pelvic lymphadenectomy can increase the probability of occurrence of VTE；early diagnosis and prompt treatment is very important for the patients with VTE. 　　【Key