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目的了解人工关节置换术后深静脉血栓的发生情况。方法 30例未行预防性抗凝治疗的人工关节置换患者于术后3~13天行双侧上行性静脉造影,分析调查术后深静脉血栓的发病情况。结果人工关节置换术后深静脉血栓的总发生率为47.1%。结论人工关节置换术后深静脉血栓的发生率和国外报道接近,这一结果应该引起人工关节外科医师的高度重视,并应针对存在高危因素的患者酌情给予适当的预防性治疗。
Objective To understand the incidence of deep venous thrombosis after artificial joint replacement. Methods Thirty patients with artificial joint replacement who did not receive prophylactic anticoagulant therapy underwent bilateral superior venous angiography 3 to 13 days postoperatively to analyze the incidence of postoperative deep vein thrombosis. Results The total incidence of deep vein thrombosis after artificial joint replacement was 47.1%. Conclusion The incidence of deep venous thrombosis after artificial joint replacement is similar to that of foreign reports. This result should be given high attention by artificial joint surgeons. Appropriate preventive treatment should be given to patients with high risk factors.