腰椎融合术后早期下肢深静脉血栓形成的相关危险因素分析

发布时间：2018-03-27 21:48

  本文选题：腰椎融合术　切入点：早期　出处：《中国脊柱脊髓杂志》2017年09期

【摘要】：目的 :探讨腰椎融合术后早期下肢深静脉血栓(deep venous thrombosis,DVT)形成的危险因素。方法:选取于2015年7月~2017年5月在广西壮族自治区人民医院骨科接受腰椎后路椎间融合术治疗的患者共165例,依据术后早期超声检查结果双下肢有无血栓形成,分为DVT组和非DVT组。对比两组患者的性别、年龄、体重指数、糖尿病、高血压病、术前凝血四项、D-二聚体、融合节段数、手术时间、术中输血、术后使用抗凝药、术后卧床时间等指标,再采用Logistic多因素回归分析进行统计学分析。结果:共纳入165例患者,术后并发下肢DVT者24例,发生率为14.5%。与非DVT组相比较,单因素χ~2检验显示两组在年龄、体重指数、手术时间、术中输血、术后卧床时间等指标差异具有统计学意义。多因素Logistic回归分析显示,年龄≥60岁(OR=6.444,95%CI=2.116~19.628)、体重指数≥24kg/m~2(OR=4.463,95%CI=1.603~12.426)、术中输血(OR=3.484,95%CI=1.110~10.932)、术后卧床天数≥5d(OR=3.155,95%CI=1.027~9.695)是腰椎融合术后早期并发下肢DVT的独立危险因素。结论:年龄≥60岁、体重指数≥24kg/m2、术中输血、术后卧床天数≥5d的患者腰椎融合术后早期易出现下肢DVT形成。
[Abstract]:Objective: to investigate the risk factors of early deep venous thromboembolism (DVT) of lower extremity after lumbar fusion. Methods: posterior lumbar interbody fusion was performed from July 2015 to May 2017 in the Department of Orthopaedics, Guangxi Zhuang Autonomous region people's Hospital. A total of 165 patients were treated with surgery. According to the results of early postoperative ultrasound, the patients were divided into DVT group and non-#en1# group. The sex, age, body mass index, diabetes mellitus, hypertension, four items of D-dimer, and the number of fusion segments were compared between the two groups. The time of operation, blood transfusion during operation, anticoagulant and bed rest after operation were analyzed by Logistic multivariate regression analysis. Results: among the 165 patients, 24 patients were complicated with lower extremity DVT after operation. The incidence rate was 14.5.Compared with the non-#en0# group, univariate 蠂 ~ 2 test showed that there were significant differences in age, body mass index, operation time, blood transfusion during operation and bed rest time after operation between the two groups. Multivariate Logistic regression analysis showed that there were significant differences between the two groups in age, body mass index, time of operation, and time of bed rest after operation. The age 鈮，

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