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目的探讨妇科肿瘤术后患者下肢深静脉血栓形成(DVT)的原因及预防措施。方法对21例妇科肿瘤术后DVT患者的原因、临床特点以及诊断、治疗和预防方法进行回顾性分析。结果发生DVT的高危因素是盆腔恶性肿瘤,老年妇女,合并高血压病、糖尿病,输血,术后应用止血药物等,治疗采用低分子右旋糖酐、肝素、尿激酶等,取得满意效果。结论对有DVT高危因素的妇科肿瘤患者,手术前后应加强预防措施,抗凝、祛聚、溶栓治疗,对DVT有较好疗效。
Objective To investigate the causes and preventive measures of lower extremity deep vein thrombosis (DVT) in patients with gynecologic oncology. Methods Retrospective analysis was performed on the causes, clinical features, diagnosis, treatment and prevention of 21 patients with gynecologic tumor after DVT. Results The high risk factors of DVT were pelvic malignant tumor, elderly women, hypertension, diabetes mellitus, blood transfusions, and postoperative application of hemostatic drugs. Treatment with low molecular weight dextran, heparin and urokinase achieved satisfactory results. Conclusions For patients with gynecologic cancer who have high risk of DVT, preventive measures, anticoagulation, de-coagulation and thrombolysis should be strengthened before and after the operation, which has a good effect on DVT.