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目的研究分析妇科疾病患者围手术期静脉血栓形成的危险因素。方法 2012年11月—2015年10月于收住并行手术治疗的妇科疾病患者47例为研究组,均在围手术期发现深静脉血栓形成。同期行手术治疗但未见静脉血栓形成的妇科疾病患者60例为对照组。通过对2组患者年龄、疾病类型、手术方式以及合并基础疾病等一般资料进行统计分析,探讨妇科围手术期静脉血栓形成的危险因素。结果研究组患者年龄、体重指数、合并基础疾病以及恶性肿瘤所占比例均高于对照组(P<0.05),而2组患者职业性质、手术方式以及手术时间无显著差异(P>0.05)。多因素logistic回归分析显示年龄、合并基础疾病以及恶性肿瘤是围手术期发生深静脉血栓的危险因素(P<0.05)。结论高龄、合并基础疾病以及恶性肿瘤是妇科疾病手术患者围手术期发生深静脉血栓的危险因素,应积极采取有效预防措施,减小深静脉血栓发病率。
Objective To study the risk factors of perioperative venous thrombosis in gynecological diseases. Methods From November 2012 to October 2015, 47 patients with gynecological diseases who received concurrent surgery were included in this study. All cases were diagnosed as having deep venous thrombosis during perioperative period. In the same period, 60 cases of gynecological diseases who underwent surgical treatment but no venous thrombosis occurred as control group. Through the statistical analysis of two groups of patients, such as age, type of disease, surgical methods and basic information such as the merger of the basic data to explore the risk factors for perioperative gynecological venous thrombosis. Results The age, body mass index, underlying diseases and the proportion of malignant tumors in the study group were significantly higher than those in the control group (P <0.05). There was no significant difference in occupational characteristics, operation method and operation time between the two groups (P> 0.05). Multivariate logistic regression analysis showed that age, combined underlying diseases and malignant tumors were risk factors of perioperative deep venous thrombosis (P <0.05). Conclusion The elderly, combined with underlying diseases and malignant tumors are risk factors of perioperative deep vein thrombosis in patients with gynecological diseases. Effective preventive measures should be taken to reduce the incidence of deep venous thrombosis.