摘要
Abstract
Objective To explore the high risk factors of deep venous thrombosis after total hip replacement.Methods Three hundreds and twenty-eight patients with total hip replacement in our hospital from January 2012 to January 2016 were retrospectively analyzed.Sixty patients had deep venous thrombosis after total hip replacement,and 268 patients without deep venous thrombosis.The high risk factors of deep venous thrombosis after total hip replacement were investigated by univariate and multivariate analysis.Results The univariate analysis showed older,long-term smoking,lower extremity venous disease,diabetes history,hypertension history,BMI>27 kg/m2,intraoperative blood loss>500 ml,without postoperative lower limb exercise,preoperative bed time>4 days,hypercoagulability,atrial fibrillation history,and lung infection were the high risk factors of deep venous thrombosis after total hip replacement.The multivariate analysis showed that older,lower extremity venous diease,hypertension history,intraoperative blood loss>500 mL,hypercoagulability,atrial fibrillation history,and lung infection were independent risk factors of deep venous thrombosis after total hip replacement.Conclusions There are many risk factors of deep venous thrombosis after total hip replacement,therefore,more attention should be paid to those risk factors.关键词
关节成形术,置换,髋/副作用/静脉血栓形成/下肢/危险因素Key words
Arthroplasty/replacement/hip/adverse effects/Venous thrombosis/Lower extremity/Risk factors分类
医药卫生
