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目的探讨妇科腹腔镜手术和开放性手术对术后深静脉血栓形成的影响。方法本院收治的200例妇科手术患者作为研究对象,分为观察组和对照组,每组均为100例。两组均为全身麻醉,对照组患者采用传统开放性手术,观察组患者采用腹腔镜手术。统计两组术后0.5小时的股静脉流速以及凝血功能指标,包括PT、D-D和APTT,以及术后3个月DVT发生率。结果对照组PT,APTT和股静脉流速均显著大于观察组,D-D和深静脉血栓形成发生率显著小于观察组(t=9.172,P<0.01;t=4.972,P<0.01;t=8.173,P<0.01;t=8.591,P<0.01;χ2=4.137,P<0.05)。结论 对于腹腔镜手术患者,应该严格筛选病例,并在围手术期间采取相应的预防DVT的措施,术后严密监测。可采用凝血功能指标和B超联合监测,从而提高评估DVT风险的可靠性,减少DVT发生率。
Objective To investigate the effect of gynecological laparoscopic surgery and open surgery on postoperative deep vein thrombosis. Methods 200 cases of gynecological surgery admitted to our hospital as the research object, divided into observation group and control group, each group was 100 cases. Both groups were general anesthesia, the control group of patients using traditional open surgery, observation group patients with laparoscopic surgery. The femoral venous flow rate and coagulation parameters including PT, D-D and APTT at 0.5 hour after operation and the incidence of DVT at 3 months after operation were calculated. Results The flow velocity of PT, APTT and femoral vein were significantly higher in the control group than in the observation group. The incidence of DD and deep venous thrombosis was significantly lower in the control group than in the observation group (t = 9.172, P <0.01; t = 4.972, <0.01; t = 8.591, P <0.01; χ2 = 4.137, P <0.05). Conclusions For patients undergoing laparoscopic surgery, patients should be screened strictly and corresponding measures of preventing DVT should be taken during perioperative period. Patients should be closely monitored after operation. Coagulation parameters and B-monitoring can be used to improve the reliability of the assessment of DVT risk and reduce the incidence of DVT.