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首页> 中文期刊> 《中国医疗设备》 >超声评估宫颈癌术后放疗患者下肢静脉血栓的形成风险

超声评估宫颈癌术后放疗患者下肢静脉血栓的形成风险

         
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摘要

Objective We try to analyze the ultrasound feasibility in evaluating the risk of venous thrombosis in patients with postoperative cervical cancer after radiotherapy. Our results might provide applicable clinical evidence for the drug intervention before thrombosis. Methods A total of 100 patients who underwent postoperative radiotherapy for cervical cancer in our hospital from October 2015 to August 2016 were selected as experimental group, another 100 patients who did not received postoperative radiotherapy were regarded as control group. For patients in experimental group, the color Doppler multifunction diagnostic instrument was used to detect the venous blood flow by 2D, CDFI and B-flow. The risk assessment classification was performed. The patients who were diagnosed as grade 2 and grade 3 were given drug intervention, while patients with grade 4 underwent thrombosis therapy. For control group, the ultrasound examination was performed to detect the swelling of the lower extremities. Results A total of 97 patients in experimental group completed the whole course of radiotherapy, 9 of them developed venous thrombus. For control group, there were 98 patients completed the whole course of radiotherapy, and 14 of them developed venous thrombus. There were significant differences between the two treated groups (P<0.05). Conclusion The assessment for risk factors of lower extremity venous thrombosis in patients with postoperative cervical cancer after radiotherapy can provide reliable imaging evidence for clinical drug intervention before thrombosis, so as to reduce the incidence of thrombosis.%目的 探讨超声对宫颈癌术后放疗患者下肢静脉血栓形成风险评估的可行性,为临床提供血栓形成前进行药物干预的依据.方法 选择我院放疗科2015年10月～2016年8月宫颈癌术后住院放疗患者100例作为实验组,用彩色多普勒多功能诊断仪从2D、CDFI、B-flow 3个方面对实验组患者下肢静脉血流状态进行观察,并对其进行风险评估分级.对2、3级患者给予药物干预,对4级患者进行血栓治疗.选择同期宫颈癌术后住院放疗患者100例作为对照组,对照组患者按照常规方法,发现下肢静脉肿胀时进行超声检查.结果 实验组最终有97例患者完成整个放疗疗程,9例形成了血栓;对照组最终98例完成整个放疗疗程,14例形成了血栓.卡方检验显示两组之间血栓的发生率有统计学意义(P<0.05).结论 对宫颈癌术后放疗患者进行下肢静脉血栓形成风险评估可以为临床血栓形成前药物干预提供可靠的影像学证据,从而降低患者血栓的发生率.

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  • 来源
    《中国医疗设备》 |2017年第9期|67-70|共4页
  • 作者

    刘宏强; 王义成; 张力维; 郑英娟; 马力丰; 牛亚军; 李锦秋; 张志林;

  • 作者单位

    河北北方学院附属第一医院 超声医学科,河北 张家口 075000;

    河北北方学院附属第一医院 超声医学科,河北 张家口 075000;

    河北北方学院附属第一医院 超声医学科,河北 张家口 075000;

    河北北方学院附属第一医院 超声医学科,河北 张家口 075000;

    河北北方学院附属第一医院 超声医学科,河北 张家口 075000;

    河北北方学院附属第一医院 超声医学科,河北 张家口 075000;

    河北北方学院附属第一医院 放射治疗科,河北 张家口 075000;

    河北北方学院附属第一医院 放射治疗科,河北 张家口 075000;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 超声学;静脉疾病;
  • 关键词

    二维血流显像; 宫颈癌; 放疗; 下肢静脉; 血栓;

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