[髋关节置换术后静脉血栓栓塞的主要危险因素的识别,尽管药物预防的尝试]。

Paweł Radziejewicz, Andrzej Gregosiewicz, Andrzej Bednarek, Maciej Siczek
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引用次数: 0

摘要

髋关节置换术是特别大的风险静脉血栓栓塞(VTE)。本研究的目的是确定静脉血栓栓塞的危险因素,并分析其对静脉血栓栓塞发生的影响。研究组髋关节置换术后患者213例。静脉血栓栓塞15例(7.04%)。深静脉血栓形成(DVT) 8例(3.75%),肺栓塞(PE) 7例(3.3%)。分析结果显示,患者的年龄、肥胖、下肢静脉曲张和静脉血栓栓塞的发生在统计学上具有相关性。我们还显示了手术中腿部超位时间对静脉血栓栓塞发作频率的显著影响,这在可获得的文献中尚未被描述。这是唯一可以通过简单修改手术技术加以限制的危险因素。
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[The attempt of identification of the essentials risk factors of venous thromboembolism after hip arthroplasty despite of pharmacological prophylaxis].

Hip arthroplasty is of particular great risk of venous thromboembolism (VTE). The objective of this study was to identify the risk factors of VTE and the analysis of their influence on VTE appear. There were 213 patients after hip arthroplasty in the investigation group. VTE occurred in 15 patients (7.04%).We found Deep Venous Thrombosis (DVT) in eight patients (3.75%) and Pulmonary Embolism (PE) in seven (3.3%). The analysis showed statistically real dependence on patient age, obesity, veins varicoses of lower extremity and VTE occur. We also showed the significant influence of the time of the leg ultraposition time during the surgery on the frequency of VTE episodes, which hasn't been described jet in accessible literature. It is the only risk factor which may be limited by simply modification of surgery technique.

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