The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery
The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery
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DOI：
10.1007/s00402-016-2508-7
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发表时间：
2016-10-01
影响因子：
2.3
通讯作者：
Takaso, Masashi
中科院分区：
文献类型：
--
作者：
Fukushima, Kensuke;Takahira, Naonobu;Takaso, Masashi
髋关节镜的使用已广泛增加。虽然深静脉血栓形成（DVT）被认为是骨科手术的严重并发症，但很少有报道讨论DVT与髋关节镜手术有关。本研究旨在探讨与髋关节镜手术相关的深静脉血栓形成的发生率和危险因素。这项回顾性研究纳入了72例患者。通过术前和术后3天的超声检查证实DVT的临床诊断。此外，在术前和术后第1、3和7天测量d-二聚体水平。对两组患者的年龄、体重指数、手术时间、手术类型和d-二聚体水平进行统计学比较（确诊DVT与未确诊DVT）。5例患者（6.94%）临床诊断为DVT，尽管所有病例均无症状。确诊DVT患者的平均年龄为62.0 ± A6.1岁，显著高于无DVT患者的平均年龄（45.1 ± A1.7岁; P = 0.0188）。根据我们的研究结果，我们建议在髋关节镜手术中筛查和治疗无症状DVT，尤其是老年患者。
The use of hip arthroscopy has been widely increasing. Although deep vein thrombosis (DVT) is thought to be a serious complication of orthopaedic surgery, there were few reports discussing DVT related to hip arthroscopic surgery. This study aimed to investigate the incidence and risk factors of DVT related to hip arthroscopic surgery.This retrospective study included 72 patients. Clinical diagnosis of DVT was confirmed through ultrasonography performed preoperatively and 3 days postoperatively. Additionally, d-dimer levels were measured preoperatively and on postoperative days 1, 3, and 7. Age, body mass index, operation time, procedure type, and d-dimer levels were statistically compared between the two groups (identified DVT vs. no identified DVT).Five patients (6.94 %) were diagnosed with DVT clinically, although all cases were asymptomatic. The mean age of the patients with identified DVT was 62.0 +/- A 6.1 years; significantly higher than the mean age of the patients without DVT (45.1 +/- A 1.7 years; P = 0.0188).The incidence of DVT during hip arthroscopy, investigated by ultrasound, was 6.94 %. From our results, we recommend screening for and treatment of asymptomatic DVT, especially in older patients, during hip arthroscopic surgery.