摘要
目的 探讨妇科肿瘤术后并发下肢深静脉血栓（ Ｄ Ｖ Ｔ） 的诊断治疗要点及预防措施。方法 回顾性分析１１ 例妇科 Ｄ Ｖ Ｔ 患者和１８ 例有 Ｄ Ｖ Ｔ 倾向患者的临床特点及诊断、治疗和预防的方法。结果 发生 Ｄ Ｖ Ｔ的高危因素为中老年妇女、肥胖、原发病多为盆腔恶性肿瘤，特别是子宫内膜癌。辅助诊断方法以彩色多普勒血流显像为最佳。治疗采用肝素或低分子肝素如速避凝抗凝治疗，均取得较好效果。结论 中老年、肥胖的肿瘤患者，特别是恶性肿瘤患者是术后并发 Ｄ Ｖ Ｔ 的高危人群，手术前后应采取预防措施。抗凝治疗对 Ｄ Ｖ Ｔ有较好疗效。
Objective To describe the clinical profile of deep venous thrombosis (DVT) after operation on pelvic tumours and to study how to choose the methods of diagnosis, treatment and prevention of DVT. Methods The clinical characteristics,the methods of diagnosis,treatment and prevention of 11 cases with DVT and 18 cases with the tendency to DVT were analyzed retrospectively. Results Old age, fatness and oringinal pelvic malignant tumours were the high risk factors for postoperative DVT. Especially the patients with endometrial carcinoma were with the high incidence of DVT. Colour code Doppler ultrasonography was the best choice to diagnose DVT. Heparin or low molecule weight heparin (LMWH) anticoagulation was effective treatment in postoperative DVT. Conclusions Old age, fatness and gynecologic malignant tumours should be considered as highrisk factors for postoperative DVT. Preoperative or postoperative prophylatic treatment of DVT should be considered in high risk population. Anticoagulation was effective in postoperative DVT.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1999年第8期488-490,共3页
Chinese Journal of Obstetrics and Gynecology
