髋关节疾病非手术治疗患者彩超检出下肢深静脉血栓的影响因素

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (719 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study factors that influence the detection with color Doppler ultrasound related to lower extremity deep venous thrombosis in non operative patients with hip joint disease.Methods Betweem January 2016 and December 2017, 96 cases (positive group) of DVT were detected with color Doppler ultrasonography in lower extremities of patients with hip diseases who were treated non-surgically in Beiya Hospital. Another 246 patients without DVT were selected as control group. Information on the sex, age, course of disease, body mass index (BMI), serum triglyceride (TG), total cholesterol (CHOL), D-dimer, varicose veins of lower extremities, clinical symptoms of DVT, chronic diseases (hypertension or diabetes), and types of hip disease of these patients was collected. Chi square test and Logistic regression analysis were used.Results Univariate analysis showed that age, BMI, CHOL, TG, D-dimer, varicose veins of lower extremities and clinical symptoms were the main factors that influenced DVT detection. Multivariate analysis showed that the main factors were age (OR 3.235, 95% CI 1.203-10.326), D-dimer (OR 2.421, 95% CI 1.358-6.532), TG (OR 3.865, 95% CI 1.685-12.569), varicose veins (OR 3.526, 95% CI 1.432-11.003), and clinical symptoms (OR 5.234, 95% CI 3-19.243).Conclusions When patients with hip joint diseases treated non-surgically develop clinical symptoms and varicose veins of lower extremities, or are over 65, or with TG above 1.7 mmol/L and D-dimer above 300 ng/ml, the detection rate of DVT by color Doppler ultrasound is the highest.

Key words： hip joint disease non operative treatment deep venous thrombosis influence factor

Received: 04 August 2018

ZTFLH:

R687.4

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHAI Tingui
	YANG Aiping
	SHA Jianguo
	GAO Lei

Cite this article:

ZHAI Tingui,YANG Aiping,SHA Jianguo等. Lower extremity deep venous thrombosis in non operative patients with hip joint disease detected with color Doppler ultrasound[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(11): 1047-1050.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I11/1047

[1]	马俊,沈彬,杨静. 人工全髋关节置换术后下肢深静脉血栓形成的危险因素分析[J]. 中国矫形外科杂志,2009,17(13): 965-969.
[2]	沈骏,蒋垚,王琦,等. 临床症状和多普勒超声对人工膝关节置换术后深静脉血栓的诊断价值[J]. 上海医学,2007,30(1): 34-36.
[3]	关振鹏,吕厚山,陈彦章,等. 影响人工关节置换术后下肢深静脉血栓形成的临床风险因素分析[J]. 中华外科杂志,2005,43(20): 1317-1320.
[4]	查振刚,臧学慧,姚平,等. 全髋关节置换术后深静脉血栓形成的临床研究及危险因素分析[J]. 中华外科杂志,2005,43(8):511-512.
[5]	Mont M A, Hungerford D S. Non-traumatic avascular necrosis of the femoral head[J]. J Bone Joint Am, 1995, 77:459-470.
[6]	李子荣. 髋关节疾病的ARCO分期[J]. 中华外科杂志,1996,34(3):186-187.
[7]	Elias A, Cadene A, Elias M, et al. Extended lower limb venous ultrasound for the diagnosis of proximal and distal vein thrombosis in asymptomatic patients after total hip replacement [J]. Eur J Vasc Endovasc Surg, 2004,27:438-444.
[8]	彭季兰,杨通明,吴泽惠,等. 下肢深静脉血栓的彩色多普勒超声诊断价值[J]. 中国矫形外科杂志,2006,14(7):1046,1054.
[9]	何炼图,汤庆,温燕杭,等. 彩超检测在预防人工关节置换术后下肢深静脉血栓形成的应用[J]. 中华关节外科杂志(电子版),2011,5(2):143-148.
[10]	刘道阔, 马明静,胡思斌,等. 骨质疏松性骨伤患者术前下肢深静脉血栓筛查及影响因素分析[J]. 北华大学学报(自然科学版),2018,19(3): 354-357.