医学新知2026，Vol.36Issue(6)：679-685,中插14-中插15,9.DOI:10.12173/j.issn.1004-5511.202506152
泌尿外科患者术后血栓形成危险因素的Meta分析
Risk factors for postoperative thrombosis in patients undergoing urological surgery:a Meta-analysis
摘要
Abstract
Objective To systematically evaluate the incidence and risk factors of postoperative thrombosis in patients undergoing urological surgery.Methods PubMed,Embase,The Cochrane Library,Web of Science,CNKI,WanFang Data and VIP databases were electronically searched to collect studies on risk factors of postoperative thrombosis in urological patients from inception to May 1,2025.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies.Meta-analysis was conducted using Stata 18.0 and RevMan 5.4 software.Results A total of 15 studies involving 91,097 patients were included.The Meta-analysis results showed that the incidence of postoperative thrombosis was 8.2%[95%CI(6.3%,10.1%)];history of venous thromboembolism[OR=4.45,95%CI(2.16,9.14),P<0.001],history of hypertension[OR=1.20,95%CI(1.04,1.38),P=0.010],history of diabetes[OR=1.71,95%CI(1.01,2.87),P=0.044],high Caprini score[OR=1.73,95%CI(1.44,2.08),P<0.001],advanced age[OR=1.37,95%CI(1.14,1.65),P=0.001],and high BMI[OR=1.11,95%CI(1.03,1.20),P=0.009]were risk factors for postoperative thrombosis.Conclusion In clinical practice,it is necessary to pay attention to the above risk factors of postoperative thrombosis and evaluate patients.For patients with high-risk factors,individualized prevention strategies should be formulated,and perioperative risk assessment and intervention should be strengthened to reduce the incidence of postoperative thrombosis and improve the prognosis of patients.关键词
泌尿外科/血栓/危险因素/Meta分析Key words
Urology/Thrombosis/Risk factors/Meta-analysis分类
医药卫生引用本文复制引用
杨刚,卢童,杨军,万涛,熊标,罗帆,周治军..泌尿外科患者术后血栓形成危险因素的Meta分析[J].医学新知,2026,36(6):679-685,中插14-中插15,9.基金项目
职业危害识别与控制湖北省重点实验室开放基金项目(JF2024-G23) （JF2024-G23）
