腹腔镜手术；下肢静脉血栓_____腹腔镜手术；下肢静脉血栓

腹腔镜术后下肢静脉血栓28例分析

http://www.100md.com 《腹腔镜外科杂志》 2006年第6期

腹腔镜手术；下肢静脉血栓,,腹腔镜手术；下肢静脉血栓,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜手术后下肢静脉血栓发生的原因和预防措施。方法：回顾性分析我院1999年5月～2006年5月2 000余例腹腔镜手术后出现的28例下肢静脉血栓的临床资料。结果：手术时间20～200min，15例下肢浅静脉血栓治疗5～7d后症状消失。复查彩色多普勒血栓消失，随访3～12个月，无复发。13例髂—股及股深静脉，经抗凝治疗14～21d症状消失，随访12个月，无复发。结论：腹腔镜术后下肢静脉血栓的发生与患者高危因素、CO2气腹、体位等因素密切相关，在围手术期应积极采取措施加以预防。

    【关键词】腹腔镜手术；下肢静脉血栓

    Venous thrombosis of the lower limbs following laparoscopic surgery：analysis of 28 cases

    XIAO Gang.

    The Fifth People's Hospital of Shenyang，Shenyang 110023，China

    【Abstract】 Objective:To explore the etiology and prevention of venous thrombosis(VT) of the lower limbs following laparoscopic surgery.Methods:The data of 28 cases of VT following 2000 cases of laparoscopic surgery in our hospital from May 1999 to May 2006 were retrospectively analyzed.Results:The operation time ranged from 20 to 200min.After 15 patients with superficial vein thrombosis were treatal their symptoms vanished.Reexaminations of color Doppler ultrasonography revealed the disappearance of thrombosis.No recurrence was found after 3 months of follow up.In 13 cases of deep femoral vein thrombosis ......

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