Clinical analysis of the venous thromboembolism after laparoscopic surgery and open surgery

Hou Feifei; Lyu Furong; Wang Xiaohui; Zhang Rui; Chen Hong

doi:10.13406/j.cnki.cyxb.000836

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Clinical analysis of the venous thromboembolism after laparoscopic surgery and open surgery

更新时间：2024-01-17

- Clinical analysis of the venous thromboembolism after laparoscopic surgery and open surgery
- Journal of Chongqing Medical University Vol. 41, Issue 1, Pages: 102-105(2016)
- 作者机构：
  
  1. 重庆医科大学附属第一医院呼吸与危重医学科
  2. 重庆医科大学附属第一医院放射科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.000836
  CLC： R619;R543.6
- Published：2016，
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[1]侯飞飞,吕富荣,王晓慧,张锐,陈虹.腹腔镜与开腹手术术后静脉血栓栓塞症的临床分析[J].重庆医科大学学报,2016,41(01):102-105.

Hou Feifei, Lyu Furong, Wang Xiaohui, et al. Clinical analysis of the venous thromboembolism after laparoscopic surgery and open surgery. [J]. Journal of Chongqing Medical University 41(1):102-105(2016)
[1]侯飞飞,吕富荣,王晓慧,张锐,陈虹.腹腔镜与开腹手术术后静脉血栓栓塞症的临床分析[J].重庆医科大学学报,2016,41(01):102-105. DOI： 10.13406/j.cnki.cyxb.000836.

Hou Feifei, Lyu Furong, Wang Xiaohui, et al. Clinical analysis of the venous thromboembolism after laparoscopic surgery and open surgery. [J]. Journal of Chongqing Medical University 41(1):102-105(2016) DOI： 10.13406/j.cnki.cyxb.000836.

摘要

目的:了解腹腔镜和开腹手术后静脉血栓栓塞症（venous thromboembolism

VTE）的发生率及腹腔镜和开腹手术对外周血凝血功能的影响

初步探讨与开腹手术比较

腹腔镜手术是否更易增加血液高凝状态和VTE的发生。方法:收集我院2011年1月到2014年12月妇科、胃肠外科、肝胆外科、泌尿外科腹腔镜及开腹手术患者的临床资料

并对术后并发下肢深静脉血栓形成（deep vein thrombosis

DVT）和肺血栓栓塞症（pulmonary thromboembolism

PTE）患者的临床资料进行回顾性分析

比较腹腔镜及开腹手术患者手术前后凝血功能相关指标的改变情况。结果:1腹腔镜手术10 850例

术后并发VTE共27例

发生率0.25%

其中DVT 23例

发生率0.21%

PTE 6例

发生率0.06%;2开腹手术16 789例

术后并发VTE共31例

发生率0.18%

其中DVT 27例

发生率0.16%

PTE 6例

发生率0.04%;3腹腔镜及开腹手术后VTE、DVT、PTE的发生率分别比较均无统计学差异（P>0.05）;4腹腔镜和开腹手术VTE患者术后的凝血酶原时间（prothrombin time

PT）明显延长

纤维蛋白原（fibrinogen

FIB）、纤维蛋白原降解产物（fibrinogen degration products

FDP）、D-二聚体（D-dimer

D-D）明显增高

与术前比较差异有统计学意义（P<0.05）;腹腔镜和开腹手术VTE患者手术前后比较

其PT、FIB、FDP、D-D水平无明显统计学差异（P>0.05）。结论:与开腹手术相比

腹腔镜手术并没有显著性地增加术后血液高凝状态及VTE的发生率。

Abstract

Objective:To understand the incidence of venous thromboembolism(VTE)in laparoscopic and open surgery and effects of laparoscopic and open surgery on coagulation status

and to discuss whether laparoscopic surgery can increase the occurrence of VTE and hypercoagulability of blood compared with open surgery. Methods:Clinical data of patients who underwent open and laparoscopic surgery in gynecology

gastrointestinal surgery

liver and gallbladder surgery

urology in the First Affiliated Hospital of Chongqing Medical University from January 2011 and December 2014 were obtained. The clinical data of patients with deep vein thrombosis(DVT)and pulmonary thromboembolism(PTE)after laparoscopic and open surgery were retrospectively analyzed. The preoperative and postoperative coagulation parameters in patients with VTE were compared between laparoscopic and open surgery. Results:1A total of 10 850 patients underwent laparoscopic surgery;VTE was seen in 27 patients and DVT was seen in 23 patients after laparoscopic surgery. The incidence of VTE and DVT were 0.25% and 0.21%

respectively. PTE was seen in 6 patients after laparoscopic surgery

the incidence of PTE was 0.06%. 2A total of 16

789 patients underwent open surgery;VTE was seen in 31 patients and DVT was seen in 27 patients after open surgery;the incidences of VTE and DVT were 0.18% and 0.16% respectively. PTE was seen in 6 patients after open surgery;the incidence of PTE was 0.04%.3 There was no significant difference in incidence of VTE

DVT

and PTE between laparoscopic cases and open cases

respectively(P >0.05). 4The level of prothrombin time(PT)

fibrinogen(FIB)

fibrinogen degration products(FDP)and D-dimer(D-D)of patients with VTE increased significantly postoperatively compared with those preoperatively in laparoscopic surgery group and open surgery group(P<0.05)

but there was no significant difference between the laparoscopic surgery group and open surgery group(P >0.05). Conclusion:Laparoscopic surgery dose not increase the incidence of VTE and hypercoagulable state among patients after the surgery.

关键词

腹腔镜手术静脉血栓栓塞症开腹手术

Keywords

laparoscopic surgeryvenous thromboembolismopen surgery

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