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目的 探讨妇科肿瘤术后下肢静脉血栓形成的诊断治疗特点及预防措施。方法 回顾性分析 12例妇科肿瘤术后下肢静脉血栓形成的临床特点及诊断、治疗和预防的方法。结果 发生下肢静脉血栓的高危因素为中老年妇女、肥胖、原发病为盆腔恶性肿瘤 ,特别是子宫内膜癌患者。治疗可用先锋霉素Ⅴ针、腹蛇抗栓酶、低分子右旋糖酐 ,局部用硫酸镁湿热敷。结论 中老年、肥胖的肿瘤患者 ,特别是恶性肿瘤患者是术后下肢静脉血栓形成的高危人群 ,手术前后应采取预防措施。
Objective To investigate the diagnosis and treatment of lower extremity venous thrombosis in gynecologic oncology patients and its preventive measures. Methods The clinical features, diagnosis, treatment and prevention of 12 cases of lower extremity venous thrombosis after gynecologic oncology were retrospectively analyzed. Results The risk factors for lower extremity venous thrombosis were middle-aged and elderly women, obesity, the primary disease was pelvic cancer, especially in patients with endometrial cancer. Treatment available cephalosporins Ⅴ needle, abdominal snake antithrombotic enzyme, low molecular weight dextran, topical magnesium sulfate moist heat deposited. Conclusion Middle-aged and elderly patients with obesity, especially malignant tumors, are at high risk for postoperative venous thrombosis of the lower extremities. Precautions should be taken before and after surgery.