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Utilization of partition analysis to evaluate the incidence on deep vein thrombosis following esophagectomy

机译：利用分区分析评估食管切除术后深静脉血栓形成的发生率

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Background We performed a retrospective observational study to examine the involvement of suspicious factors and causes of deep vein thrombosis using cases of esophagectomy that were done to treat esophageal carcinoma. Methods The 144 patients received esophagectomy in Okayama University Hospital from January 2005 to June 2007. All patients had an enhanced CT or an ultrasound examination after their operations. The incidence of deep vein thrombosis was then determined. For cases that found deep vein thrombosis, the anticoagulant treatment was strengthened. When the thrombosis was already so large to be seen in the inferior vena cava, the IVC filter was left to prevent a pulmonary embolism. Using JMP5.0.1 statistical analysis software, we analyzed the relationship between various clinical factors and the incidence of deep vein thrombosis.Results Using JMP5.0.1, factors causing deep vein thrombosis were analyzed and partitioning was done. The most significant risk factor causing deep vein thrombosis is leaving the central venous catheter inserted into the inguinal femoral area. Logistic analysis also showed that only the catheter if inserted from the inguinal femoral area, was significantly related to cause deep vein thrombosis (p < 0.0055). No other factor was a significant risk to cause deep vein thrombosis.Conclusions We analyzed the relationship between suspicious factors and the causes of deep vein thrombosis in cases of esophagectomy. The most relevant factors were inserting the central venous catheter from the inguinal femoral route. This evidence can be applied to both pre-operative and postoperative management to prevent deep vein thrombosis.
机译：背景我们进行了一项回顾性观察研究，以使用可用于治疗食管癌的食管切除术病例检查可疑因素的参与和深静脉血栓形成的原因。方法2005年1月至2007年6月在冈山大学医院进行食管切除术的144例患者，所有患者术后均接受了增强的CT或超声检查。然后确定深静脉血栓形成的发生率。对于发现深静脉血栓形成的病例，应加强抗凝治疗。当血栓形成已经大到在下腔静脉中可以看到时，留用IVC过滤器可以防止肺栓塞。使用JMP5.0.1统计分析软件，分析了各种临床因素与深静脉血栓形成发生率的关系。结果使用JMP5.0.1，分析了引起深静脉血栓形成的因素并进行了划分。引起深静脉血栓形成的最重要风险因素是将中央静脉导管插入腹股沟股骨区。 Logistic分析还显示，只有从腹股沟股骨区插入导管，才与引起深静脉血栓形成显着相关（p <0.0055）。没有其他因素是引起深静脉血栓形成的重大风险。结论我们分析了食管切除术病例中可疑因素与深静脉血栓形成原因之间的关系。最相关的因素是从腹股沟股动脉途径插入中心静脉导管。该证据可用于术前和术后处理，以预防深静脉血栓形成。

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