摘要
目的探讨妇科肿瘤术后并发深静脉血栓(DVT)的诊治及预防措施。方法分析43例妇科肿瘤术后并发DVT患者的临床资料。全部患者均经血浆D-二聚体检测并结合静脉彩超检查确诊后,采用全身或者局部抗凝、溶栓等药物治疗或手术取栓治疗,并发肺动脉栓塞(PE)患者放置临时性下腔静脉滤器(IVCF)预防致死性PE。结果29例患者临床症状明显改善,4例PE患者呼吸系统症状消失,所有患者出院复查静脉彩超示下肢深静脉有不同程度的再通。结论恶性肿瘤、老年人、肥胖是妇科肿瘤术后DVT的高危因素,血浆D-二聚体检测结合静脉彩超可协助确诊,围手术期应积极预防DVT的发生,合理应用药物、介入和手术治疗可有效防治DVT。
Objective To study the diagnosis, treatment, and prophylaxis of postoperative deep venous thrombosis（DVT）in patients with gynecologic oncoma. Methods 43 patients with postoperative DVT in gynecologic oncoma were retrospectively analyzed. Results The patients were treated with systematic or local anticoagulation, thrombolysis, or surgical thrombectomy treatment. Temporary inferior vena cava filters （IVCFs） were applied for the suspected patients to prevent fatal pulmonary thromboembolism （PE）. All the patients got satisfied effect. Conclusions Malignant tumors, the aged, and obesity are high risk factors for postoperative DVT in gynecologic oncoma. Combination of plasma D-dimer and Doppler ultrasonography is definitely the best choice for diagnosis. Perioperative prophylatic treatment of DVT should be considered in high risk population. Proper medication, interventional therapy or operation can effectively prevent and cure DVT.
出处
《西部医学》
2008年第5期1023-1025,共3页
Medical Journal of West China
关键词
妇科肿瘤
深静脉血栓
肺动脉栓塞
治疗
预防
Gynecologic oncology Deep venous thrombosis Pulmonary thromboembolism Therapy Prophylaxis
