Clinical Analysis Of Risk Factors For Deep Venous Thrombosis After Gynecology Surgery

Objective:By retrospectively analyzed of postoperative lower limb venous thrombosispatients’ clinical data in our hospital department of Gynaecology, to explore the highrisk factors of postoperative lower limb venous thrombosis on patients withgynecological surgery, provide reference basis for the prevention and treatment.Methods:Collected a total of104cases from January2010to January2015in our commondepartment of Gynaecology and tumors department of Gynaecology after surgicaltreatment of diagnosed lower limb venous thrombosis as the case group, collected104cases of no postoperative hospitalization, lower limb venous thrombosis patients withthe same department, the same period and the same disease,taking the case-controlstudy, high risk factors of postoperative lower limb venous thrombosis of departmentof Gynaecology to single factor and multiple factors analysis. Comprehensiveanalysis of department of Gynaecology of lower extremity deep venous thrombosisafter clinical manifestations, signs and treatment methods.Results:1. The single factor analysis showed that: Case group and control group in age,history of hypertension, history of surgery, blood transfusion and use of hemostaticdrugs risk factors with statistical significance (P <0.05); And the two combinationswith the history of diabetes, body mass index BMI has no statistical significance (P>0.05).2. The multi-factor unconditioned Logistic regression analysis results showedthat: Merge history of high blood pressure, age, hemostatic drug application andbefore surgery that would become influence can be independent risk factors forvenous thrombosis of lower limbs.3. The LDVT patients’blood clots more happen in unilateral lower limb account for80.74%, of which more occurred in the left lowerlimb49.04%; LDVT occurred in2-43days postoperatively, average (6.35±1.3),patients postoperative3days to2weeks to appear LDVT (68.27%); After physicaltherapy and drug anticoagulation, thrombolysis and remove treatment in case grouppatients were followed up for6months, fully cured (85.58%), improved85.58%.Conclusion:1. The merger history of high blood pressure, age, hemostatic drug applicationand surgery history can always be the influencing factors of postoperative LDVT indepartment of Gynaecology.2. LDVT common to occur3to14days after the operation, more common in theleft leg; Post-operative regular D-dimer and lower limbs color doppler ultrasound cantimely and effective detect of LDVT; Physical therapy and drug therapy has highcurative effect.3. Early prevention and early diagnosis-treatment to patients with high LDVTrisk factors of is the effective measure to reduce the incidence and mortality.