• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of Bone and Joint Surgery. American Volume >Multimodal thromboprophylaxis following primary hip arthroplasty: the role of adjuvant intermittent pneumatic calf compression.
【24h】

Multimodal thromboprophylaxis following primary hip arthroplasty: the role of adjuvant intermittent pneumatic calf compression.

机译：原发性髋关节置换术后的多模式血栓预防：辅助性间歇性小腿加压压缩的作用。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We report a retrospective review of the incidence of venous thromboembolism in 463 consecutive patients who underwent primary total hip arthroplasty (487 procedures). Treatment included both total hip replacement and hip resurfacing, and the patients were managed without anticoagulants. The thromboprophylaxis regimen included an antiplatelet agent, generally aspirin, hypotensive epidural anaesthesia, elastic compression stockings and early mobilisation. In 258 of these procedures (244 patients) performed in 2005 (cohort A) mechanical compression devices were not used, whereas in 229 (219 patients) performed during 2006 (cohort B) bilateral intermittent pneumatic calf compression was used. All operations were performed through a posterior mini-incision approach. Patients who required anticoagulation for pre-existing medical problems and those undergoing revision arthroplasty were excluded. Doppler ultrasonographic screening for deep-vein thrombosis was performed in all patients between the fourth and sixth post-operative days. All patients were reviewed at a follow-up clinic six to ten weeks after the operation. In addition, response to a questionnaire was obtained at the end of 12 weeks post-operatively. No symptomatic calf or above-knee deep-vein thrombosis or pulmonary embolism occurred. In 25 patients in cohort A (10.2%) and in ten patients in cohort B (4.6%) asymptomatic calf deep-vein thromboses were detected ultrasonographically. This difference was statistically significant (p = 0.03). The regimen followed by cohort B offers the prospect of a low incidence of venous thromboembolism without subjecting patients to the higher risk of bleeding associated with anticoagulant use.
机译：我们报告回顾性回顾性分析了463例行原发性全髋关节置换术（487例）的患者的静脉血栓栓塞发生率。治疗包括全髋关节置换和髋关节表面置换，并且患者均接受了抗凝治疗。血栓预防方案包括抗血小板药，一般为阿司匹林，降压硬膜外麻醉，弹性加压袜和早期动员。 2005年（队列A）中有258例（244例）未使用机械加压装置，而2006年（队列B）中有229例（219例）中采用了双侧间歇性小腿加压。所有手术均通过后路小切口方法进行。排除因先前存在的医疗问题而需要抗凝治疗的患者以及接受翻修置换术的患者。在术后第四天至第六天之间对所有患者进行多普勒超声检查以检查深静脉血栓形成。术后六至十周，所有患者均在随访诊所接受检查。另外，在术后12周结束时获得对问卷的答复。没有症状性小腿或膝上深静脉血栓形成或肺栓塞发生。超声检查发现队列A的25例患者（10.2％）和队列B的10例患者（4.6％）无症状小腿深静脉血栓形成。这种差异具有统计学意义（p = 0.03）。队列B遵循的方案可降低静脉血栓栓塞的发生率，并且不会使患者因使用抗凝剂而出血的风险更高。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号