郭慧 1陈锋 1熊吉信 1涂小飞 1陈冬 1唐新华1
作者信息
- 1. 330000 江西省南昌市，南昌大学第二附属医院血管外科
- 折叠
摘要
Abstract
Objective To study the differences in the predisposing factors for secondary lower extremity deep venous thrombosis(下肢 DVT)among patients with different affected limbs and age,and to provide references for the prevention, diagnosis and treatment of DVT. Methods A total of 783 DVT patients who were treated in Department of Vascular Surgery, the Second Affiliated Hospital of Nanchang University from January 2011 to June 2014,were selected as study subjects. The clinical data including gender,age,the classification of DVT,and affected limbs,and the possible predisposing factors for DVT including history of recent surgery,traumatic fracture,immobilization/ paralysis,malignancy,intravascular procedure,and hysterectomy,oral contraceptives,conception/ puerperium of female patients,were recorded. Results Of the 783 patients, 158(20. 2% )had DVT in the right leg,582(74. 3% )in the left leg and 43(5. 5% )in both legs. There were significant differences in gender and classification of DVT among DVT patients with different affected limbs(P < 0. 05). In male and female secondary DVT patients,the percentage of traumatic fracture in right DVT patients was significantly lower than that in left DVT patients(P < 0. 05),and the percentage of the malignant tumor in right DVT patients was higher than that in left DVT patients (P < 0. 05). In DVT patients,151 cases(19. 3% )were young(≤39 years),424 cases(54. 1% )were middle - aged(40- 64 years),208 cases(26. 6% )were elderly(≥65 years). There were significant differences in gender and classification of DVT among different age groups of DVT patients(P < 0. 05). The major predisposing factors for young male secondary DVT patients were traumatic fracture ( 39. 1% ), recent surgery ( 26. 1% ), intravascular procedure ( 26. 1% ); the major predisposing factors for middle - aged and elderly male secondary DVT patients were recent surgery( 50. 9% ,45. 2% ), traumatic fracture(38. 6% ,35. 7% ). The major predisposing factors were conception/ puerperium(85. 7% )among young female secondary DVT patients,recent surgery(57. 7% )among middle - aged female secondary DVT patients,traumatic fracture(47. 9% )and recent surgery(43. 8% )among elderly female secondary DVT patients. Conclusion The percentage of traumatic fracture is lower,and malignancy is higher in right secondary DVT patients than those in left secondary DVT patients. The major predisposing factors for young male secondary DVT patients are traumatic fracture,recent surgery,and intravascular procedure,and middle - aged and elderly male secondary DVT patients are recent surgery and traumatic fracture. The major predisposing factors are conception/ puerperium for young female secondary DVT patients,recent surgery for middle - aged female secondary DVT patients,traumatic fracture and recent surgery for elderly female secondary DVT patients.关键词
静脉血栓形成/下肢/年龄分布/诱发因素Key words
Venous thrombosis/Lower extremity/Age distribution/Predisposing factor分类
医药卫生
