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目的:探讨妇科手术合并下肢静脉血栓(LDVT)的影响因素,为妇科手术相关并发症的提早预防提供理论依据。方法:选取2012年9月~2014年9月在该院妇科手术后发生LDVT的患者26例作为病例组,另选取同期因同种疾病住院术后未发生LDVT的患者26例作为对照组,采用病例-对照研究对两组患者临床资料进行回顾性分析。对术后发生LDVT的影响因素进行单因素及多因素分析。结果:单因素分析结果显示,输血、年龄、高血压均可能是LDVT的影响因素(P<0.05)。糖尿病史、止血药物对术后LEDVT可能无明显影响(P>0.05)。多因素非条件Logistic回归分析结果显示,输血、合并高血压病史可能是独立影响LDVT的因素。结论:输血、高血压病史可能是妇科手术后LDVT的影响因素;对有LDVT危险因素的患者应制定有针对性的预防措施。
Objective: To investigate the influencing factors of lower extremity venous thrombosis (LDVT) in gynecological surgery and to provide a theoretical basis for early prevention of gynecological surgery-related complications. Methods: Twenty-six patients with LDVT after gynecological surgery from September 2012 to September 2014 were selected as the case group. Another 26 patients who did not have LDVT during the same period of hospitalization were selected as the control group. Case-control study The clinical data of two groups were retrospectively analyzed. The incidence of postoperative LDVT factors single factor and multivariate analysis. Results: The results of univariate analysis showed that blood transfusion, age and hypertension were the possible influencing factors of LDVT (P <0.05). Diabetes history, hemostatic drugs may have no significant effect on postoperative LEDVT (P> 0.05). Multivariate non-conditional logistic regression analysis showed that the history of blood transfusion and hypertension may be independent of LDVT. Conclusion: The history of blood transfusion and hypertension may be the influencing factors of LDVT after gynecological surgery. Targeted preventive measures should be made for patients with LDVT risk factors.