中国组织工程研究2017，Vol.21Issue(19)：2961-2965,5.DOI:10.3969/j.issn.2095-4344.2017.19.002
人工髋关节置换修复老年骨质疏松性股骨颈骨折发生下肢深静脉血栓的时间分布
Time of lower extremity deep venous thrombosis after hip arthroplasty in senile patients with osteoporotic femoral neck fractures
摘要
Abstract
BACKGROUND: Lower extremity deep venous thrombosis is commonly seen after hip arthroplasty. The time of thrombosis after arthroplasty in senile patients with osteoporotic femoral neck fractures is little reported.OBJECTIVE: To investigate the time of perioperative lower extremity deep venous thrombosis in senile patients with osteoporotic femoral neck fractures undergoing hip arthroplasty. METHODS: The data of 178 patients with femoral neck fractures undergoing hip arthroplasty were analyzed, and were then allocated to anticoagulant and non-anticoagulant groups according to the preoperative use of low-molecular-weight heparins or not. Doppler ultrasonography of both lower extremity arteries was conducted at 1, 3, 5 and 5-7 days after injury, and 2, 5, 7 and 14 days postoperatively to monitor the lower extremity deep venous thrombosis, and the number and incidence of thrombosis in the two groups were recorded at different time points. The time of thrombosis occurred frequently after injury and surgery was determined through drawing the frequency distribution table and line chart.RESULTS AND CONCLUSION: (1) The incidence of thrombosis showed significant difference between anticoagulant (n=6, 8%) and non-anticoagulant (n=22, 21%)) groups (P < 0.05). (2) Thrombosis frequently occurred at 3 days after injury and 1 day postoperatively. (3) These results suggest that the thrombosis in patients with femoral neck fractures frequently occurs at 1-3 days after injury and 1 day after replacement. Additionally, active prevention measures after injury can significantly reduce the incidence of lower extremity venous thrombosis.关键词
骨科植入物/人工假体/股骨颈骨折/关节成形术/骨质疏松/深静脉血栓/时间分布分类
医药卫生引用本文复制引用
孙灏,魏俊强,刘利蕊,闫石,金宇,冯震..人工髋关节置换修复老年骨质疏松性股骨颈骨折发生下肢深静脉血栓的时间分布[J].中国组织工程研究,2017,21(19):2961-2965,5.基金项目
承德市科技局资助课题(201601A045) （201601A045）
the Project of the Science and Technology Bureau of Chengde City, No. 201601A045 （）
