不同患肢和年龄的继发性下肢深静脉血栓患者诱发因素分析

发布时间：2018-03-15 12:20

  本文选题：静脉血栓形成　切入点：下肢　出处：《中国全科医学》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨不同患肢、年龄的继发性下肢深静脉血栓(DVT)患者诱发因素的差异,为下肢DVT的预防、诊断和治疗提供参考。方法选取2011年1月—2014年6月南昌大学第二附属医院血管外科收治的783例下肢DVT患者为研究对象,记录患者临床资料,包括性别、年龄、下肢DVT分型、患肢,以及可能的诱发因素,包括近期手术史、创伤骨折、制动/瘫痪、恶性肿瘤、血管内操作,女性患者子宫切除、口服避孕药、妊娠/产褥期等。结果右下肢DVT患者158例(20.2%),左下肢582例(74.3%),双下肢43例(5.5%)。不同患肢的下肢DVT患者性别、下肢DVT分型比较,差异有统计学意义(P0.05)。男性、女性右下肢继发性DVT患者创伤骨折比例低于左下肢,恶性肿瘤比例高于左下肢(P0.05)。下肢DVT患者中青年(≤39岁)151例(19.3%),中年(40~64岁)424例(54.1%),老年(≥65岁)208例(26.6%)。不同年龄患者性别、下肢DVT分型比较,差异均有统计学意义(P0.05)。青年男性继发性肢DVT患者诱发因素主要为创伤骨折(39.1%)、近期手术(26.1%)、血管内操作(26.1%),中年、老年男性继发性下肢DVT患者诱发因素主要为近期手术(50.9%、45.2%)、创伤骨折(38.6%、35.7%)。青年女性继发性下肢DVT患者诱发因素主要为妊娠/产褥期(85.7%),中年女性继发性下肢DVT患者诱发因素主要为近期手术(57.7%),老年女性继发性下肢DVT患者诱发因素主要为创伤骨折(47.9%)和近期手术(43.8%)。结论右下肢继发性DVT患者创伤骨折比例低于左下肢,恶性肿瘤比例高于左下肢。青年男性继发性下肢DVT患者诱发因素主要为创伤骨折、近期手术、血管内操作,中年、老年男性继发性下肢DVT患者诱发因素主要为近期手术、创伤骨折。青年女性继发性下肢DVT患者诱发因素主要为妊娠/产褥期,中年女性继发性下肢DVT患者诱发因素主要为近期手术,老年女性继发性下肢DVT患者诱发因素主要为创伤骨折和近期手术。
[Abstract]:Objective to explore the difference of inducing factors in patients with secondary DVT of lower extremity and age, so as to prevent DVT of lower extremity. Methods from January 2011 to June 2014, 783 patients with lower extremity DVT treated in vascular surgery department of the second affiliated Hospital of Nanchang University were selected as study subjects. The clinical data of the patients were recorded, including sex, age, lower extremity DVT typing. Affected limbs, and possible predisposing factors, including recent surgical history, traumatic fractures, immobilization / paralysis, malignant neoplasms, intravascular procedures, hysterectomy in female patients, oral contraceptives, Results there were 158 cases with DVT in right lower limb, 582 cases with left lower extremity and 74.3%, 43 cases with lower extremity with lower extremity DVT. The sex of lower extremity DVT patients with different affected limbs, lower extremity DVT classification, the difference was statistically significant (P 0.05). The rate of traumatic fracture in female patients with secondary DVT of right lower extremity is lower than that of left lower extremity, and the proportion of malignant tumor is higher than that of left lower extremity P0.05.The young and young patients with lower extremity DVT (鈮，

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