摘要
目的探讨出院前复查下肢深静脉彩色多普勒超声的重要意义。方法回顾性分析河北医科大学第三医院湘江院区收治的骨科手术后下肢深静脉血栓(deep vein thrombosis,DVT)患者26例,分析其性别、年龄、骨科疾病诊断、基础疾病合并症、血栓类型及发生部位、肺栓塞并发症情况等,比较不同疾病所占比例及血栓类型分布差异。结果下肢DVT患者共26例,中央型血栓3例(股浅静脉血栓3例),占11.54%;周围型血栓22例(腘静脉血栓3例,胫后静脉血栓3例,腓静脉血栓5例,小腿肌间静脉血栓11例),占84.61%;混合型血栓1例,占3.85%。3种血栓类型在性别、年龄、是否肥胖、有无高血压、有无糖尿病、手术方式、有无输血史、骨折类型构成比之间差异均无统计学意义(P>0.05)。其中多发骨折共4例,占15.38%;髋关节置换和髋部骨折(包括骨盆髋臼骨折、股骨颈骨折、股骨转子间骨折)共9例,占34.62%;膝关节表面置换及膝部骨折共6例,占23.08%;踝关节骨折及足部骨折共2例,占7.69%;下肢管状骨骨折共5例,占19.23%。所有患者在抗凝与溶栓治疗过程中,无大出血及肺栓塞等相关并发症发生。结论彩色多普勒超声检查具有安全、简单方便、实时动态、可重复性、无创伤等优点,可作为DVT常规检查的首选方法,可在出院前及时发现血栓情况,并采取有效干预措施,减少出院后的医疗隐患,避免肺栓塞等严重并发症的发生,改善患者的预后及提高生活质量,值得临床推广。
Objective To investigate the significance of color Doppler ultrasound in lower extremity deep vein before release from hospital.Methods A retrospective analysis was conducted on 26 patients with deep vein thrombosis(DVT)after orthopaedic surgery in Xiangjiang district of the Third Hospital of Hebei Medical University.By analyzing their gender,age,disease diagnosis in department of orthopedics,complications of underlying diseases,types of thrombosis,location and complications of pulmonary embolism,the proportion of different diseases and the distribution of thrombus types were compared.Results In 26 patients with lower limb DVT,three cases of central thrombosis was accounting for 11.54%of the 26 patients(3 cases of superficial femoral vein thrombosis),while 22 cases of peripheral thrombus were accounting for 84.62%of the 26 patients(3 cases of popliteal vein thrombosis,3 cases of posterior tibial vein thrombosis,5 cases of fibula thrombosis,11 cases of intermuscular venous thrombosis).There were 1 cases of thrombus,accounting for 3.85%.There were no significant differences among the three thrombus types in gender,age,obesity,hypertension,diabetes mellitus,surgical method,blood transfusion history,and fracture type composition ratio(P>0.05).There were 4 cases of multiple fractures(accounting for 15.38%),9 cases of hip joint replacement and hip fracture(accounting for 34.62%),6 cases of knee joint surface replacement and knee fracture(accounting for 23.08%),2 cases of ankle joint fracture and foot fracture(accounting for 7.69%),5 cases of lower limb tubular bone fracture(accounting for 19.23%).During the course of anticoagulation and thrombolytic therapy,all patients had no major bleeding and pulmonary embolism and other related complications.Conclusion Color Doppler ultrasound examination has the advantages of safety,simplicity,convenience,real-time dynamics,repeatabilityand non-invasiveness.It can be used as the preferred method of routine DVT examination.It can detect thrombus in time before discharge and take ef
作者
宁艳婷
丁俊琴
李春柳
齐向北
李升
李智勇
NING Yan-ting;DING Jun-qin;LI Chun-liu;QI Xiang-bei;LI Sheng;LI Zhi-yong(Department of Orthopedics, the Third Hospital of Hebei Medical University, Xiang-jiang District, Shijiazhuang 050035, China)
出处
《河北医科大学学报》
CAS
2020年第9期1033-1038,共6页
Journal of Hebei Medical University
基金
河北省医学科学研究课题(20190632)。
关键词
骨折
深静脉血栓
彩色多普勒超声
fracture
deep vein thrombosis
Color doppler flow imaging
