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首页> 外文期刊>Open Journal of Urology >Incidence of Post-Operative Venous Thromboembolism Using Compression Ultrasonography Following Trauma to Spine and Long Bones of Lower Extremity
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Incidence of Post-Operative Venous Thromboembolism Using Compression Ultrasonography Following Trauma to Spine and Long Bones of Lower Extremity

机译：创伤到脊柱和下肢长骨后使用压缩超声检查的手术后静脉血栓栓塞的发生率

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Background: Venous thromboembolism is an important and potentially a fatal complication if not suspected and treated promptly. Various diagnostic modalities are available to detect Deep Vein Thrombosis (DVT), but each has its merits and demerits. Compression ultrasonography is a non-invasive method to diagnose DVT. This study was undertaken to evaluate the incidence of DVT using compression ultrasonography in the patients who underwent surgery of the spine and long bones of lower extremity following trauma. Material & Methods: All patients who underwent surgery following trauma to the spine and long bones of lower extremity were screened using Venous B-mode ultrasonography and color Doppler imaging. None of the patients received prophylaxis against DVT. The patients were selected on the basis of the following findings: 1) Immediately in patients found to have clinical DVT following surgery; 2) Every odd number of patients who underwent surgery and did not show signs and symptoms of DVT on the 7th, 14th post operative day and 6th post operative week. Results: The incidence of DVT using compression ultrasonography in the patients who underwent surgery of the spine and long bones of lower extremity following trauma was 17 percent. The incidence of DVT has no correlation with various clinical variables. Conclusion: The observed incidence of DVT is reasonably high and it is a potential risk factor for the development of pulmonary embolism.
机译：背景：静脉血栓栓塞是重要的并发症，如果不及时怀疑和治疗，可能是致命的并发症。各种诊断方法可用于检测深静脉血栓形成（DVT），但是每种都有其优缺点。压缩超声检查是诊断DVT的一种非侵入性方法。这项研究旨在通过加压超声检查来评估创伤后脊柱和下肢长骨手术患者的DVT发生率。材料与方法：所有接受脊柱及下肢长骨创伤手术的患者均采用静脉B型超声和彩色多普勒成像进行筛查。没有患者接受预防DVT的治疗。根据以下发现选择患者：1）手术后立即发现具有临床DVT的患者; 2）在手术后第7天，第14天和术后第6周接受手术且没有DVT体征和症状的患者数量奇数。结果：创伤后接受脊柱和下肢长骨手术的患者，使用压缩超声检查进行DVT的发生率为17％。 DVT的发生率与各种临床变量无关。结论：观察到的DVT发生率相当高，并且是发生肺栓塞的潜在危险因素。

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