Objective To assess the treatment of lower extremity deep venous thrombosis (LEDVT) after inguinal hernia surgery. Methods A total of 2 835 patients with inguinal hernia underwent herniorrhaphy from January 2012 to December 2017. There were 7 patients who suffered LEDVT after hernia surgery and the rate of LEDVT was 0.25%. Results One case with LEDVT involved both lower extremities, 4 cases in left lower extremity and 2 cases in right lower extremity. All 7 cases were discharged from hospital after anticoagulant therapy and symptomatic treatment. There was no pulmonary embolism and no mortality. Conclusions It is important to pay attention to LEDVT during the perioperative period of inguinal hernia.Prevention, diagnosis and management of LEDVT after inguinal hernia surgery was reviewed and become the key measures for LEDVT.
LI Jian, WU Biao
. Treatment of lower extremity deep venous thrombosis after inguinal hernia surgery[J]. Journal of Surgery Concepts & Practice, 2018
, 23(05)
: 437
-439
.
DOI: 10.16139/j.1007-9610.2018.05.012
[1] 杨东生, 刘克忠. 围手术期干预对预防腹股沟疝术后下肢深静脉血栓形成的影响[J]. 中华疝和腹壁外科杂志,2012,6(4):932-934.
[2] Ramaswamy RS, Akinwande O, Giardina JD, et al.Acute lower extremity deep venous thrombosis: the data, where we are, and how it is done[J]. Tech Vasc Interv Radiol,2018,21(2):105-112.
[3] Patel S, Cheema A, Karawadia T, et al. Management of acute lower extremity deep venous thrombosis in a patient with duplicated inferior vena cava and contraindication to anticoagulation: case and review of the literature[J]. BMJ Case Rep,2018,2018.pii: bcr-2017-222974.
[4] Zhou HX, Peng LQ, Yu Y, et al.Validation of the Caprini risk assessment model in Chinese hospitalized patients with venous thrombosism[J]. Thromb Res,2012, 130(5):735-740.
[5] 张静, 燕锋. 超声检查在下肢深静脉血栓诊断中的临床价值分析[J]. 医学影像学杂志,2015,25(8):1509-1511.
[6] 能克武, 尹坚, 汪晓东, 等. 外科手术并发下肢深静脉血栓溶栓治疗方案[J]. 昆明医科大学学报,2017,38(12):111-115.
[7] 张月儿, 陈佳丽, 宁宁. 预防深静脉血栓的研究进展[J]. 现代临床医学,2017,43(3):235-237.
[8] 黄晶晶. 胃肠外科术后下肢深静脉血栓形成的临床分析[D]. 郑州:郑州大学,2017.
[9] 刘静, 汪秀云. 胃癌术后下肢深静脉血栓形成的危险因素logistic回归分析及护理对策[J]. 华西医学,2015, 30(1):132-134.
[10] 王深明, 武日东. 规范下肢深静脉血栓形成的治疗[J]. 中国血管外科杂志,2014,6(1):1-3.
[11] 吴丹明, 周玉斌, 汤海涛. 下肢深静脉血栓形成的抗凝治疗及其疗程的探讨[J]. 中国血管外科杂志,2014,6(1):4-6.
[12] Stephenson EJ, Liem TK.Duplex imaging of residual venous obstruction to guide duration of therapy for lower extremitydeep venous thrombosis[J]. J Vasc Surg Venous Lymphat Disord,2015,3(3):326-332.
[13] Sharifi M, Freeman W, Bay C, et al.Low incidence of post-thrombotic syndrome in patients treated with new oral anticoagulants and percutaneous endovenous intervention for lower extremity deep venous thrombosis[J]. Vasc Med,2015,20(2):112-116.
[14] 宋巍, 杨建平, 方青波, 等. 下肢深静脉血栓形成的危险因素分析[J]. 临床荟萃,2018,33(1):66-70.
[15] 宫宁, 王亚敏, 文颖, 等. 下肢深静脉血栓彩色超声影像探讨[J]. 影像研究与医学应用,2018,2(8):62-63.
[16] 曾维佳, 张旭胜. 下肢深静脉血栓形成的危险因素及多普勒超声诊断价值分析[J]. 血栓与止血学,2017,23(2):205-207.
[17] 田贺晓, 殷飞鸽, 王功磊. 血府逐瘀汤联合综合护理预防老年股骨颈骨折术后下肢深静脉血栓的效果研究[J]. 海峡药学,2018,30(2):217-219.
[18] 孔彦月. 康复治疗联合低分子量肝素钙预防术后下肢深静脉血栓形成的疗效观察[J]. 双足与保健,2018,27(2):110-112.
[19] 郑淑彬, 陆秀娟. 深静脉血栓形成的高危因素及预防护理进展[J]. 当代护士(下旬刊),2017,25(2):15-18.
[20] 陆南山. 中医治疗下肢深静脉血栓形成进展[J]. 中医临床研究,2017,9(10):146-148.
[21] 刘凤林, 张太平. 中国普通外科围手术期血栓预防与管理指南[J]. 中国实用外科杂志,2016,36(5):469-474.
