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目的探讨妇科肿瘤患者术后并发深静脉血栓形成(DVT)的原因、诊断治疗及预防措施。方法回顾性分析36例妇科肿瘤术后DVT的临床特点、诊断、治疗的方法。结果发生DVT的高危因素是盆腔恶性肿瘤,血粘滞度增高合并高血压,糖尿病及术后常规应用止血药等。腹腔镜手术可诱发DVT,采用低分子肝素、尿激酶、低分子右旋糖酐、复方丹参等治疗,可取得满意效果。结论对有DVT高危因素的妇科肿瘤患者,手术前后需加强预防措施。
Objective To investigate the causes, diagnosis, treatment and preventive measures of postoperative deep venous thrombosis (DVT) in gynecologic cancer patients. Methods The clinical features, diagnosis and treatment of 36 patients with gynecological tumor after operation were retrospectively analyzed. Results High risk factors for DVT were pelvic malignancies, elevated blood viscosity with hypertension, diabetes mellitus, and postoperative routine hemostatic agents. Laparoscopic surgery can induce DVT, using low molecular weight heparin, urokinase, low molecular weight dextran, salvia miltiorrhiza complex treatment, can obtain satisfactory results. Conclusion For patients with gynecologic cancer who have high risk of DVT, precautionary measures should be strengthened before and after operation.