早期弹力袜对易栓症患者异位妊娠腔镜术后下肢深静脉血栓形成的防治作用

摘要

Objective To explore the clinical effect of compression stockings on thrombophilia patients with ectopic pregnancy for the prevention on the lower extremities deep venous thrombosis after laparoscopic surgery. Methods A total of 132 cases with ectopic pregnancy were subjected to laparoscopic surgery from January 2014 to Decemb er 2015. Of them,38 patients were involved in this research,.and was divided into two groups,.the observation group which the compression stockings were on application and the control group which would be not.The incidence of postoperative lower limb deep vein thrombosis and pulmonary embolism,.and postoperative levels in D2 polymers,were respectively compared between the two groups. Results The incidence of extremity deep venous thrombosis in the observation group could be lower than that in the control group, which showed the great significance (5.6% VS 35%, P=0.045). However, the incidence of postoperative pulmonary and the levels of D2 polymers had no significant difference in two groups. Conclusion Although there is relative insufficiency in the design and sample size in this study, the early postoperative application of compression stockings on the prevention and treatment of lower extremity deep venous thrombosis in thrombophilia patients with ectopic pregnancy after laparoscopic surgery,.would be effective,.and relatively safe.%目的：异位妊娠需要接受腹腔镜手术的易栓症患者术后早期应用弹力袜防治下肢深静脉血栓形成的临床意义。方法选取我院2014年1月~2015年12月因异位妊娠而接受腹腔镜手术的患者共132例,共38例符合入组及排除标准,对比这些易栓症患者术后早期应用弹力袜处理(观察组)及非弹力袜处理(对照组),比较术后下肢深静脉血栓及肺栓塞的发生率,以及术后 D2聚体的变化。结果观察组术后下肢深静脉血栓的发生率较对照组显著下降(5.6% VS 35%,P=0.045),而术后肺栓及D2聚体的变化在两组中没有显著性差异。结论尽管本研究在设计及样本量存在相对的不足,但是易栓症患者因为异位妊娠接受腹腔镜手术,在术后早期应用弹力袜防治下肢深静脉血栓形成是有效的,且相对安全的。