中外医学研究2026，Vol.24Issue(2)：16-20,5.DOI:10.14033/j.cnki.cfmr.2026.20.004
基于循证的原发性肝癌患者腹腔镜精准肝切除术后VTE危险因素识别与预防策略研究
Research on the Identification of VTE Risk Factors and Prevention Strategies in Patients with Primary Liver Cancer after Laparoscopic Precise Hepatectomy Based on Evidence-Based Research
摘要
Abstract
Objective:Based on evidence-based identification of the risk factors of VTE in patients with primary liver cancer(PLC)after laparoscopic precise hepatectomy,and accordingly formulating prevention strategies.Method:121 patients with PLC admitted to Deyang People's Hospital from January 2023 to December 2024 were selected for the study.According to whether the patients were diagnosed with venous thromboembolism(VTE),they were divided into the VTE group(32 cases)and the non-VTE group(89 cases).Based on the idea of evidence-based medicine and referring to the relevant literature published at home and abroad,a special questionnaire on the related factors of VTE in patients with PLC after laparoscopic precise hepatectomy was compiled.logistic regression analysis was given for the factors with statistical differences in the univariate analysis after variable assignment.Result:High body mass index,operation time>240 min,high Caprini score,bed rest time>48 h,combined portal vein tumor thrombus,and D-dimer>3,000 μg/L on the first day after surgery were independent inducing factors affecting the occurrence of VTE after laparoscopic precise hepatectomy in PLC patients(OR>1,P<0.05).Conclusion:There are many independent risk factors influencing the occurrence of VTE in patients with PLC after laparoscopic precise hepatectomy.Therefore,more attention should be paid to such patients in clinical practice.It is recommended to adopt the above preventive intervention strategies in a timely manner at an early stage in order to reduce the incidence of VTE in patients with PLC after laparoscopic precise hepatectomy.关键词
循证/原发性肝癌/腹腔镜精准肝切除术/静脉血栓栓塞病/危险因素/预防策略Key words
Evidence-based/Primary liver cancer/Laparoscopic precise hepatectomy/Venous thromboembolism/Risk factors/Preventive strategy引用本文复制引用
刘竹,陈香玉,谭洁..基于循证的原发性肝癌患者腹腔镜精准肝切除术后VTE危险因素识别与预防策略研究[J].中外医学研究,2026,24(2):16-20,5.基金项目
四川护理职业学院科研基金课题资助(2025ZRY32) （2025ZRY32）
