论文部分内容阅读
目的 研究妇科腹腔镜术后深静脉血栓的发生率。方法 在澳大利亚悉尼Liverpool医院 1997年 5月～ 1997年 9月 72例妇科腹腔镜手术采用Doppler超声检查静脉血流的通畅性和血管腔内的回声团用以诊断深静脉血栓。 61例患者充气时间 <60分钟为小手术组 ,11例 >60分钟为大手术组。每例患者在术后 2 4小时内及术后 7天行两次超声Doppler检查 ,所有 72人均行术后 2 4小时内的超声Doppler检查 ,小手术组 61例中 4 0例、大手术组 11例中 9例行二次超声检查。 2 3例未行二次超声检查者均行电话随访。结果 在我们的研究中两组患者均未发现DVT。本文同时报道北京复兴医院一例腹腔镜下右卵巢巧克力囊肿剥除术、左卵巢及部分输卵管切除术患者术后并发DVT ,其诊断及治疗经过。结论 这项研究证实妇科腹腔镜手术DVT虽发生率极低 ,一旦发生需及时诊治 ,以免发生肺栓塞等致命并发症。
Objective To study the incidence of deep venous thrombosis after gynecological laparoscopic surgery. Methods Seventy-two gynecological laparoscopic procedures at Liverpool Hospital in Sydney, Australia, from May 1997 to September 1997 were performed with Doppler ultrasonography to examine the patency of the venous flow and echo masses in the lumen of the blood vessels for the diagnosis of deep vein thrombosis. 61 patients with inflatable time <60 minutes for the small surgery group, 11 cases> 60 minutes for the major surgery group. Ultrasound Doppler examination was performed twice every 24 hours after operation and 7 days after operation in all patients. All 72 patients underwent ultrasound Doppler examination within 24 hours after operation, in 40 cases in operation group, 40 cases in operation group, In 11 cases, 9 cases underwent secondary ultrasonography. Twenty-three patients who did not perform secondary ultrasound examination were followed up by phone. Results No DVT was found in both groups in our study. This article also reported a case of Beijing Fuxing Hospital, laparoscopic right ovarian chocolate cyst excision, left ovarian and tubal resection in patients with postoperative complications of DVT, its diagnosis and treatment after. Conclusions This study confirmed that although the incidence of DVT in gynecologic laparoscopic surgery is extremely low, timely diagnosis and treatment should be done to avoid the fatal complications such as pulmonary embolism.