| 冯颖 李坚 陈素文 李长东 张晓峰 吴青青.子宫动脉栓塞术后并发血栓的临床病例分析和诊治探讨[J].,2016,16(21):4079-4081 |
| 子宫动脉栓塞术后并发血栓的临床病例分析和诊治探讨 |
| Clinical Analysis of the Diagnosis and Treatment of Postoperative DeepVenous Thrombosis after Uterine Artery Embolization Treatment |
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| DOI： |
| 中文关键词: 子宫动脉栓塞术 深静脉血栓 剖宫产瘢痕妊娠 低分子肝素钠 |
| 英文关键词: Uterine artery embolization Deep venous thrombosis (DVT) Caesarean scar pregnancy Low molecule weight heparin
anticoagulation |
| 基金项目:国家自然科学基金项目(81270733) |
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| 中文摘要: |
| 目的：探讨剖宫产瘢痕妊娠(CSP)患者经子宫动脉栓塞术(UAE)后并发下肢深静脉血栓(DVT)的临床病例的诊断治疗要点。
方法：回顾性分析2014 年-2016 年我院收治的剖宫产瘢痕妊娠患者经子宫动脉栓塞术后并发下肢深静脉血栓(DVT)5 例患者的
临床特点及诊断、治疗方法。结果：2014 年-2016 年，我院CSP 患者经UAE 治疗后发生DVT 的发病率为1.63%，患者平均年龄
35.2 岁。DVT 临床症状出现于UAE 术后3-6 天，多表现为下肢的疼痛及酸胀，深静脉血栓均出现在介入穿刺处肢体。用彩色多普
勒血流显像诊断深静脉血栓安全可靠。采用低分子肝素皮下注射抗凝治疗均取得较好效果。结论：剖宫产瘢痕妊娠患者经子宫动
脉栓塞术治疗后有发生下肢深静脉血栓风险，DVT 发生与穿刺处肢体制动，血管受压，血液回流障碍有关。手术前后应采取预防
措施，低分子肝素钠抗凝对DVT 治疗有效。 |
| 英文摘要: |
| Objective:To describe the clinical profile of deep venous thrombosis (DVT) after uterine artery embolization treatment
caesarean scar pregnancy and study how to choose the methods of diagnosis and treatment of DVT.Methods:The clinical characteristics,
diagnosis and treatment of 5 cases of patients who were diagnosed as caesarean scar pregnancy (CSP)after uterine artery embolization
from 2014 to 2016 in Beijing Obstetrics and Gynecology Hospital were retrospectively analyzed.Results:The incidence of DVT in
caesarean scar pregnancy with UAE treatment was 1.63%, the average age of DVT was 35.2 years old. Clinical signs appeared after UAE
treatment 3 to 6 days. More performance was pain and acid bilges in the lower limb and all of thrombosis located in the intervention leg.
It was safe and reliable to diagnose DVT with color-code Doppler ultrasonography. Low molecule weight heparin anticoagulation was
effective in the treatment of postoperative DVT.Conclusion:There was risk to have DVT in caesarean scar pregnancy patients with
uterine artery embolization treatment. The occurrence of DVT related to puncture limbs braking, the compression of blood vessels, blood
backflow dysfunction. Preventive measures should be taken before and after operation. It was effective to treat DVT with Low molecule
weight heparin anticoagulation. |
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