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妇科肿瘤术后并发静脉血栓形成的临床分析

凌晓娟 王慧萍 张晨凌

山西医科大学学报2012,Vol.43Issue(9):693-695,3.
山西医科大学学报2012,Vol.43Issue(9):693-695,3.DOI:10.3969/J.ISSN.1007-6611.2012.09.016

妇科肿瘤术后并发静脉血栓形成的临床分析

Analysis of deep venous thromboembolism after surgery for gynecological cancer

凌晓娟 1王慧萍 1张晨凌1

作者信息

  • 1. 陕西省宝鸡市中心医院妇产科,宝鸡721008
  • 折叠

摘要

Abstract

Objective To investigate the incidence, the risk factor, the clinical characteristics, the diagnosis, treatment and prevention of venous thromboembolism after surgery for gynecological cancers. Methods Clinical data of 142 patients with gynecologic malignant tumors were retrospectively. Results The incidence of postoperative venous thromboembolism was 7. 04% for all the patients, including 6. 94% for cervical cancer, 10. 71% for ovarian cancer and 4. 76% for endometrial cancer. The main feature was left lower limb swelling, pain, thickening in the patients with VTE. Advanced age, complications, blood transfusion, operation time, anesthesia time,fatness were risk factors for VTE. Anticoagulation was effective in the treatment of VTE. Conclusion Advanced age,complications, blood transfusion, operation time, anesthesia time, fatness may be risk factors for VTE. VTE often occurred in the left lower ]imb. Combination of plasma D-dimmer and Doppler ultrasonography is the best choice to definitely diagnose the VTE. Active prevention,early diagnosis and anticoagulation are effective measures for the patients with VTE.

关键词

妇科肿瘤/静脉血栓/预防

Key words

gynecological cancer/venous thrombosis/prevention

分类

医药卫生

引用本文复制引用

凌晓娟,王慧萍,张晨凌..妇科肿瘤术后并发静脉血栓形成的临床分析[J].山西医科大学学报,2012,43(9):693-695,3.

山西医科大学学报

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1007-6611

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