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目的探讨妇科肿瘤术后患者发生静脉血栓栓塞(VTE)的危险因素。方法回顾性分析在本院妇科行手术治疗的176例妇科肿瘤患者的临床资料,统计术后VTE发生率,分析VTE发生的危险因素。结果 176例患者中,发生VTE 21例,发生率为11.93%;术后VTE危险因素为:年龄、体质量指数(BMI)、合并基础疾病、病理分化程度、淋巴结转移、术前化疗。结论妇科肿瘤术后发生VTE几率较高,临床应做好术前危险因素评估,对于高龄、高血压、高血脂、糖尿病、凝血功能异常、术前接受化疗等患者积极采取联合预防措施,以降低VTE发生率。
Objective To investigate the risk factors of venous thromboembolism (VTE) in postoperative gynecologic oncology patients. Methods The clinical data of 176 gynecologic cancer patients undergoing gynecological surgery in our hospital were retrospectively analyzed. The incidence of postoperative VTE was calculated and the risk factors of VTE were analyzed. Results Among the 176 patients, 21 cases were VTE, the incidence rate was 11.93%. The postoperative VTE risk factors were age, BMI, combined disease, pathological differentiation, lymph node metastasis and preoperative chemotherapy. Conclusions Gynecologic oncology patients have a higher incidence of postoperative VTE. Preoperative risk factors should be assessed in clinical practice. Joint preventive measures should be actively taken for patients with advanced age, hypertension, hyperlipidemia, diabetes mellitus, coagulation disorders, and preoperative chemotherapy to reduce VTE incidence.