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全膝关节置换术后深静脉血栓发生的中期随访研究 被引量:12

A medium-term follow-up for deep venous thrombosis after total knee arthroplasty
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摘要 目的 探讨全膝关节置换术(TKA)后深静脉血栓(DVT)发生情况的中期随访结果。方法2003年7月-2004年3月对59例患者(68膝)行TKA,其中获得随访者55例(63膝)。术后1、2周使用临床症状观察、多普勒超声检查和深静脉造影评定DVT。每6个月门诊随访一次,主要进行DVT临床症状和手术侧下肢多普勒超声检查;对症状严重者行深静脉造影,并对其结果加以总结。结果术后1周,静脉造影确诊为DVT者34例(61.8%)4l膝;术后2周,12例血栓消失,2例血栓向近端扩散。所有患者获平均36.6个月(32—40个月)随访,术后6、12、18、24、30个月时DVT的发生率差异无显著性意义(P〉0.05)。结论无论围手术期是否存在DVT,中期DVT的发生率并无差异。 Objective To report the medium-term follow-up results for deep venous thrombosis (DVT) after total knee arthroplasty (TKA). Methods Between July 2003 and March 2004, 55 patients (63 knees) who had had TKA were followed up for DVT. In follow-ups 1 to 2 weeks after TKA, their clinic symptoms, Doppler ultrasonograms and venograms were analyzed. In the following out-patient follow-ups done at every six months, we observed their clinic symptoms and Doppler uhrasonograms for the operated lower extremity. Venography was done only for those who had severe DVT symptoms. Results The venography one week after TKA conformed that DVT occurred in 34 patients (41 knees, 61.8% ). Two weeks after operation, DVT vanished in 12 cases, but deteriorated to the proximal part in two cases. The follow-ups averaged 36.6 months(range, 32 to 40 months). The results at five time points showed that the incidence of DVT did no decrease with lapse of time( P 〉 0. 05). Conclusion No matter whether DVT occurs in the perioperative period, incidence of DVT in the medium term varies little.
作者 沈骏 蒋垚 张先龙 王琦 沈灏 曾炳芳 SHEN Jun, JIANG Yao, ZHANG Xian-long, et al( Department of Orthopaedic Surgery, The Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China)
出处 《中华创伤骨科杂志》 CAS 2006年第7期 639-641,共3页 Chinese Journal of Orthopaedic Trauma
关键词 深静脉血栓 关节成形术 置换 中期随访 Deep venous thrombosis (DVT) Arthroplasty, replacement, knee Medium-term follow-up
作者简介 E-mail:peltman@163.com
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