腹腔镜手术患者术后下肢深静脉血栓形成的危险因素

被引：12

作者：

马红滔 ^{[1
]}

常晓健 ^{[2
]}

赵相军 ^{[3
]}

张良清 ^{[1
]}

机构：

[1] 中山市火炬开发区医院普外科

[2] 中山市人民医院普外科

[3] 中山市火炬开发区医院妇产科

来源：

中国实用医药 | 2014年 / 9卷 / 08期

关键词：

腹腔镜; 并发症; 危险因素;

D O I：

10.14163/j.cnki.11-5547/r.2014.08.128

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

目的筛选腹腔镜手术患者术后下肢深静脉血栓形成的危险因素。方法择期全身麻醉下行腹膜腔镜手术患者350例,年龄≥18岁,ASA分级1级或Ⅱ级,手术类型为普外科或妇科腹腔镜手术。根据患者术毕或术后第1周是否发生,将其分为血栓组和非血栓组。记录患者年龄、体重指数、性别、合并疾病、手术体位、气腹针穿刺次数、手术时间、气腹压。采用Logistic回归分析法筛选的危险因素。结果 350例患者中8例因手术原因中转开腹手术,术后13例发生下肢深静脉血栓,发生率为3.2%。Logistic回归分析结果显示:手术时间≥4 h、气腹压≥20 mmHg、头高脚低位为腔镜手术患者术后下肢深静脉血栓形成的危险因素(P<0.05)。结论手术时间≥4 h、气腹压≥20 mmHg、头高脚低位为腹腔镜手术患者术后下肢深静脉血栓形成的危险因素。

引用

页码：99 / 101

页数：3

共 7 条

[1]

Duplex ultrasound assessment of femoral venous flow during laparoscopic and open gastric bypass.[J].N.T. Nguyen;M. Cronan;S. Braley;R. Rivers;B.M. Wolfe.Surgical Endoscopy.2002, 2

[2]

Videolaparoscopic cholecystectomy induces a hemostasis activation of lower grade than does open surgery [J].

Prisco, D ;

De Gaudio, AR ;

Carla, R ;

Gori, AM ;

Fedi, S ;

Cella, AP ;

Gensini, GF ;

Abbate, R .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2000, 14 (02) :170-174

[3]

Coagulation modifications after laparoscopic and open cholecystectomy in a swine model [J].

Nguyen, NT ;

Luketich, JD ;

Shurin, MR ;

Schatz, S ;

Tran, Q ;

Ravid, J ;

Schauer, PR .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (07) :973-978

[4]

Activation of coagulation and fibrinolysis in open and laparoscopic cholecystectomy [J].

Dexter, SPL ;

Griffith, JP ;

Grant, PJ ;

McMahon, MJ .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1996, 10 (11) :1069-1074

[5]

HEMODYNAMIC-EFFECTS OF INTERMITTENT PNEUMATIC COMPRESSION OF THE LOWER-LIMBS DURING LAPAROSCOPIC CHOLECYSTECTOMY [J].

CHRISTEN, Y ;

REYMOND, MA ;

VOGEL, JJ ;

KLOPFENSTEIN, CE ;

MOREL, P ;

BOUNAMEAUX, H .

AMERICAN JOURNAL OF SURGERY, 1995, 170 (04) :395-398

[6]

POSTOPERATIVE HYPERCOAGULABILITY AND DEEP-VEIN THROMBOSIS AFTER LAPAROSCOPIC CHOLECYSTECTOMY [J].

CAPRINI, JA ;

ARCELUS, JI ;

LAUBACH, M ;

SIZE, G ;

HOFFMAN, KN ;

COATS, RW ;

BLATTNER, S .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1995, 9 (03) :304-309

[7]

LOWER-EXTREMITY VENOUS STASIS DURING LAPAROSCOPIC CHOLECYSTECTOMY AS ASSESSED USING COLOR DOPPLER ULTRASOUND [J].

IDO, K ;

SUZUKI, T ;

KIMURA, K ;

TANIGUCHI, Y ;

KAWAMOTO, C ;

ISODA, N ;

NAGAMINE, N ;

IOKA, T ;

KUMAGAI, M ;

HIRAYAMA, Y .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1995, 9 (03) :310-313

← 1 →