摘要
目的探讨腹腔镜胆囊切除术(laparoscoptccholecystectomy,LC),术后静脉血栓发生的原因和预防。方法回顾性分析我院2002年1月～2004年6月258例LC术后12例静脉血栓的临床资料。结果手术时间17～58min,平均38min。术中出血量15～100ml,平均45ml。11例浅静脉血栓治疗6～8d后红肿热痛等症状消失,复查彩色多普勒血栓消失,予华法林抗凝治疗,随访6～12个月,未见复发。股深静脉合并肺栓塞1例,抗凝治疗4个月,随访6个月,未见复发。结论LC术后静脉血栓的发生与病人高危因素、CO2气腹、麻醉等因素密切相关,在围手术期应积极采取措施加以预防。
Objective To investigate the etiology and prevention of venous thrombosis （VT） following laparoscopic cholecystectomy （LC）. Methods A retrospective analysis on clinical records of 12 cases of VT following 258 cases of LC in this hospital from January 2002 to June 2004 was carried out. Results The operation time was 17 -58 min （mean, 38 min） , and the intraoperative blood loss was 15 - 100 ml （mean, 45 ml）. In 11 cases of superficial vein thrombosis, on a treatment for 6 -8 days the symptoms of redness, swelling, heat, and pain vanished. Re - examinations of color Doppler ultrasonography revealed disappearance of thrombosis, and an anticoagulation therapy with Warfarin was given. Follow - ups for 6 - 12 months found no recurrence. In 1 case of deep femoral vein thrombosis accompanying pulmonary embolism, an antieoagulation therapy was employed for 4 months and a follow - up for 6 months showed no recurrence. Conclusions The development of VT following LC is correlated to patients ＇ high - risk factors, carbon dioxide pneumoperitoneum, and anesthesia administration. Emphasis should be on active countermeasures during peri - operative period.
出处
《中国微创外科杂志》
CSCD
2005年第11期888-888,895,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜胆囊切除术
静脉血栓
Laparoscopic cholecystectomy
Venous thrombosis
