Characteristic analysis and prevention measures of obstetrics and gynecology postoperative deep venous thrombosis
Xuepeng Li · Central Plains Medical Journal · 2013
Objective To analyze the etiology characteristics and prevention of postoperative deep venous thrombosis (DVT) in department of obstetrics and gynecology,in order to summarize the more effective methods and measures.Methods From October 2010 to October 2012,180 patients with DVT were observed about the clinical characteristics as well as the precautionary measures.Results The number of deep venous thrombosis in benign group was 2 cases (2.63 ％),which was significantly lower than 11 cases (10.58％) in the malignant group,,there was significant difference (x2 =32.91,P ＜ 0.05).In 13 patients with deep vein thrombosis,11 cases occurred in the left lower limb.The number of people suffering from thrombosis in cesarean section common iliac vein was 16 cases (11.85 ％),the number of people suffering from thrombosis in natural childbirth maternal iliac vein total was 4 cases (2.96％),there was significant difference(x2 =11.72,P ＜0.05).The number of people suffering from thrombosis in cesarean section calf deep vein was 11 cases (8.15％),the number of people suffering from thrombosis in natural childbirth maternal calf deep vein was 3 cases (2.22％),there was significant difference (x2 =3.51,P ＜ 0.05).The number of people suffering from thrombosis and pulmonary embolism in cesarean section was 9 cases (6.67％),the number of people suffering from thrombosis and pulmonary embolism in natural childbirth maternal was 2 cases (1.48％),there was significant difference(x2 =12.31,P ＜ 0.05).The number of cesarean section suffering from thrombosis merger varicose veins was 7 cases (5.19％),natural childbirth women suffering from thrombosis veins merge was 2 cases (1.48％),there was significant difference (x2 =2.28,P ＜ 0.05).Conclusions Postoperative deep venous thrombosis risk factors in department of obstetrics and gynecology was malignant tumor,patients' left lower limb is the prone parts of malignancy.Pay a high degree of attention to tumor after surgery and cesarean section in department of obstetrics and gynecology concurrent characteristics of the etiology of deep vein thrombosis and prevention,combined with a variety of preventive measures,early prevention,in order to reduce the incidence of complications in patients. Key words: Gynecologic oncology ; Cesarean ; Complications ; Deep vein thrombosis