下肢手术后深静脉血栓形成危险因素的评估

Gajanan Pisulkar, Ankur Salwan, ShaunakBabanrao Taywade, A. Awasthi, Amit Saoji
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引用次数: 0

摘要

背景:深静脉血栓形成是影响全球成年人的最常见疾病之一。这种情况的特点是静脉中有血栓。血栓通常在下肢静脉形成。深静脉血栓形成是任何下肢手术后最常见的并发症,也是任何年龄段患者整形外科手术后因瓣膜失效而出现的突出并发症。目的和目的:我们研究的目的是评估下肢手术后的危险因素。方法:对符合入选标准的个体进行超声检查和双相彩色多普勒检查,频率分别为7.5MHz和10MHz,使用高频探头评估接受手术的个体深静脉中是否存在血栓。将评估记录在评估表上,并使用SPSS统计软件进行分析,得出结果。结果:在这项研究中,患者大多来自59–68岁的年龄组,共有202名患者被纳入。136名患者在骨科手术后被诊断为DVT。结论:下肢手术后DVT的发生取决于多种因素,如手术时间、固定期、DVT病史和术后停留时间,以及年龄和性别等其他因素。我们发现髓外植入物的相对风险为2.93。此外,我们还得出结论,临床体征和症状不是确定DVT发病率的可靠指标。
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Assessment of risk factors of deep-vein thrombosis after lower limb surgery
Background: Deep vein thrombosis is one of the most common condition affecting adults worldwide. The condition is characterized by the presence of blood clots in the veins. The clots commonly develop in the lower limb veins. Deep vein thrombosis is the most common complication after any lower limb surgery and is a prominent complication post-orthopaedic surgery in individuals of any age due to failure of the valves. Aim and Objectives: The aim of our study is to assess the risk factors following lower limb surgery. Methodology: The individuals who fulfill the inclusion criteria were tested using ultrasonography and duplex color Doppler unit examination at 7.5 MHz and 10 MHz using high frequency probes to assess the presence of thrombus in the deep veins of the individuals who have undergone the surgeries. The assessment was recorded on the assessment sheet and analyzed using SPSS statistical software, and the results were drawn. Results: In this study, the individuals were mostly from the age group 59–68 years and a total of 202 patients were included. 136 patients are diagnosed as suffering from DVT following orthopedic surgery. Conclusion: We conclude that the occurrence of DVT after lower limb surgery depends on various factors such as the duration of surgery, the period of immobilization, prior history of DVT and post-operative stay, and various other factors such as age and gender. We found that extramedullary implants have a relative risk of 2.93. Additionally, we also concluded that clinical signs and symptoms are not reliable measures to identify incidence of DVT.
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