摘要
目的：探讨腹腔镜手术后下肢静脉血栓发生的原因和预防措施。方法：回顾性分析我院1999年5月～2006年5月2000余例腹腔镜手术后出现的28例下肢静脉血栓的临床资料。结果：手术时间20～200min，15例下肢浅静脉血栓治疗5～7d后症状消失。复查彩色多普勒血栓消失，随访3～12个月，无复发。13例髂-股及股深静脉，经抗凝治疗14～21d症状消失，随访12个月，无复发。结论：腹腔镜术后下肢静脉血栓的发生与患者高危因素、CO2气腹、体位等因素密切相关，在围手术期应积极采取措施加以预防。
Objective：To explore the etiology and prevention of venous thrombosis （VT） of the lower limbs following laparoscopic surgery. Methods：The data of 28 cases of VT following 2000 cases of laparoscopic surgery in our hospital from May 1999 to May 2006 were retrospectively analyzed. Results：The operation time ranged from 20 to 200rain. After 15 patients with superficial vein thrombosis were treatal their symptoms vanished. Re-examinations of color Doppler uhrasonography revealed the disappearance of thrombosis. No recurrence was found after 3 months of follow up. In 13 cases of deep femoral vein thrombosis,an anticoagulation therapy was employed for 14-21 days and no recurrence was found after a follow of 12 months. Conclusions：The development of Venous thrombosis （VT） of the lower limbs following laparoscopic surgery is correlated to patients＇high-risk factors,carbon dioxide pneumoperitoneum,and position. Preventive measures shoud be adopted actively during periperative period.
出处
《腹腔镜外科杂志》
2006年第6期508-509,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜手术
下肢静脉血栓
Laparoscopic surgery
Venous thrombosis of the lower limbs
