关键词:人工关节;手术后并发症;血栓性静脉炎
【摘要】目的 了解人工关节置换术后深静脉血栓的发生情况。方法 51例未行预防性抗凝治疗的人工关节置换患者于术后3~13天行双侧上行性静脉造影,分析调查术后深静脉血栓的发病情况。结果 人工关节置换术后深静脉血栓的总发生率为47.1%,全髋关节置换术后深静脉血栓的发生率为40.0%,全膝关节置换术后深静脉血栓的发生率为53.8%。未见症状性肺栓塞患者。结论 本组统计人工关节置换术后深静脉血栓的发生率和国外报道接近,这一结果应该引起人工关节外科医师的高度重视,并应针对存在高危因素的患者酌情给予适当的预防性治疗。
Incidence of Deep VenousThrombosis After Total Joint Arthroplasty
Houshan * , XU Bin.
* ArthritisClinic & ResearchCenter, People’sHospital, Beijing Medical University, Beijing 100044
【 Abstract 】 Objective Todetermine the incidence of deep venous thrombosis after total joint arthroplasty. Methods Fifty-one patients hadbilateral ascending venography between 3rd and 13th day after total joint replacement. Results The total incidence of deep venous thrombosis was 47.1% among 51 patients who had adequate venography, 40.0% occurred in total hipreplacement and 53.8% intotal knee replacement. No symptomatic pulmonary embolism was found. Conclusion The results indicate deep venous thrombosis after total joint arthroplasty is similar tothat reported in the foreign literature. This suggests that prophylactic treatment isreasonable in patients with high risk of deep veinous thrombosis.
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