分子影像学杂志2023，Vol.46Issue(6)：1098-1101,4.DOI:10.12122/j.issn.1674-4500.2023.06.24
血管超声在诊断关节置换围手术期下肢静脉血栓中的临床应用
Clinical application of vascular ultrasound in the diagnosis of lower limb venous thrombosis during perioperative period of joint replacement surgery
摘要
Abstract
Objective To analyze the clinical application of vascular ultrasound in the diagnosis of lower limb venous thrombosis during perioperative period of joint replacement surgery.Methods A retrospective study was conducted on 868 patients who underwent initial unilateral hip or knee arthroplasty from January 2021 to June 2023 as the observation group.The group under observation was contrasted with 868 healthy volunteers who had hospital physical examinations within the same period,forming the control group.The observation group was subject to multimodal thrombus prevention measures including anticoagulants,calf venous pressure pump,strengthened ankle pump,early mobilization,and reduction of perioperative dehydration.The observation group underwent color doppler ultrasound examination of bilateral lower limb venous vessels pre-surgery and 3-5 d post-surgery.The detection accuracy for lower limb venous thrombosis and the differences in vein diameter of the superficial femoral vein,medial sural vein,and posterior tibial vein between both groups were analyzed.Results 152 patients in the observation group were reported to have deep vein thrombosis(DVT)after surgery with an incidence rate of 17.5%.All cases were asymptomatic DVTs.The breakdown was as follows:138 cases were on the side of the surgery,14 cases on both sides,110 cases of peripheral venous embolization,22 cases of central venous embolization and 20 cases of mixed venous embolization.In the control group,26 cases of peripheral lower limb thrombosis were found.Comparatively,the diameters of the superficial femoral vein,medial sural vein,and posterior tibial vein in the observation group were significantly larger than those in the control group(P<0.05).Conclusion Vascular ultrasound examination can accurately diagnose lower limb venous thrombosis in patients post joint replacement surgery.It can display various imaging characteristics,which is beneficial for disease status assessment and provides clinical evidence for early treatment.关键词
血管超声/关节置换/下肢深静脉血栓Key words
vascular ultrasound/joint replacement/lower limb deep vein thrombosis引用本文复制引用
李宏芳,王子奇,廖哲霆..血管超声在诊断关节置换围手术期下肢静脉血栓中的临床应用[J].分子影像学杂志,2023,46(6):1098-1101,4.基金项目
广东省自然科学基金(2018B030311041) （2018B030311041）
