下肢深静脉血栓形成手术时机的探讨
深静脉血栓形成·腿·外科手术,,深静脉血栓形成·腿·外科手术,1资料和方法,2结果,3讨论,参考文献
【摘要】目的：探讨下肢深静脉血栓形成(LEDVT)手术时机的选择。方法：LEDVT 47例，按照临床病程分为早期组(≤3d)23例和中期组(≤10d)18例、晚期组(>10d)6例。所有病例均采用股静脉切开取栓术。结果：早中期组术后恢复良好，早期组术后患肢肿胀2d以内明显消退；中期组术后患肢肿胀于5d内消退占10/18；晚期患者术后患肢肿胀消退缓慢，术后5d仍有肿胀占5/6。早中期患者术后血栓病理多为新鲜血栓，晚期多为陈旧血栓。结论：下肢深静脉血栓形成的患者在10d内应积极手术取栓治疗，10d以上不宜手术而以保守治疗为主。【关键词】深静脉血栓形成·腿·外科手术
The opportunity choice of surgical procedure for deep venous thrombosis of lower extremity
LI Ming,WU Xiaopeng,WANG Zhiqing
Department of General Surgical,Qilu Hospital of Shandong University (Jinan 250012,China)
【ABSTRACT】Objective:To study the choices of times for surgical procedure for lower extremity deep vein thrombosis(LEDVT).Methods:We retrospectively analyzed 47 patients who received surgical therapy for their LEDVT in our hospital during 3 years.According to the time from they had this disease to obtaining therapy,all of the patients were divided into three stages:early stage:23 patients,≤3 days;middle stage:18 patients 4~10 days;later stage:6 patients;>10 days.All the patients received operations.Results:The prognoses of 80.49% patients in the early and middle stages were well ,the fadeaway of edema was evident,on the contrary,the prognoses of 83.33% patients of the later stage were worse,the fadeaway of edema was slow.Conclusion:The patients of LEDVT should receive operation as early as possibly in 10 days,the patients should receive conservative therapy after 10 days. ......
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