姚尧,王业贤,徐志宏,陈东阳,史冬泉,戴进,秦江辉,蒋青

• 1:南京大学医学院附属鼓楼医院运动医学与成人重建外科

摘要(Abstract)：

[目的]评价人工关节置换术前患者下肢静脉血栓与肌间静脉扩张的发生情况与相关因素。[方法]回顾2015年3月～2017年7月接受人工膝髋关节置换手术569例患者。术前超声检查测量最大肌间静脉直径并在术后检查下肢静脉血栓发生情况。肌间静脉直径≥5.70 mm定义为肌间静脉扩张,将患者分为扩张组和非扩张组,探讨肌间静脉扩张的相关影响因素。[结果]术前超声检查显示569例患者肌间静脉直径为(5.60±2.40) mm,其中扩张组238例,非扩张组331例。术后超声提示新发血栓36例。扩张组年龄、BMI显著高于非扩张组(P<0.05)。Pearson相关分析表明,患者年龄与肌间静脉直径呈显著正相关(r=0.295,P<0.001);患者BMI与肌间静脉直径呈显著正相关(r=0.249,P<0.001)。逻辑回归表明,高龄(OR=1.036,P<0.001)、高BMI (OR=1.095,P<0.001)、手术类型(OR=0.670,P=0.044)是术前肌间静脉扩张的危险因素。[结论]肌间静脉扩张是人工关节置换人群中一种常见的现象。高龄、大体重指数、膝关节置换术是人工关节置换患者肌间静脉扩张的危险因素。

关键词(KeyWords)： 关节置换术;肌间静脉;超声多普勒;静脉血栓;静脉扩张

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金面上项目（编号：81871832;81672239）

作者(Author): 姚尧,王业贤,徐志宏,陈东阳,史冬泉,戴进,秦江辉,蒋青

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