摘要
目的 探讨髋关节疾病非手术治疗患者彩超检出下肢深静脉血栓(deep venous thrombosis, DVT)的影响因素。方法 选择2016-01至2017-12北亚骨科医院收治的髋关节疾病非手术治疗患者下肢血管彩超检出DVT 96例(DVT阳性组),另外从同期未检出DVT的患者中选择246例作为对照组。收集两组患者的性别、年龄、病程、体重指数(BMI)、血清三酰甘油(TG)、胆固醇总量(CHOL)、D-二聚体,以及有无下肢静脉曲张,有无DVT临床症状,有无慢性病(高血压或糖尿病),髋关节疾病类型等指标,采用卡方检验和Logistic回归分析。结果 单因素分析,影响DVT检出的主要因素是年龄、BMI、CHOL、TG、D-二聚体、下肢静脉曲张、有临床症状等。多因素分析,主要因素是年龄(OR为3.235,95% CI为1.203~10.326)、D-二聚体(OR为2.421,95% CI为1.358~6.532)、TG(OR为3.865,95% CI为1.685~12.569)、下肢静脉曲张(OR为3.526,95% CI为1.432~11.003)、有临床症状(OR为5.234,95% CI为3.132~19.243)。结论 髋关节疾病非手术治疗患者如果有临床症状、下肢静脉曲张、年龄大于65岁、TG≥1.7 mmol/L、D-二聚体＞300 ng/ml,则彩超检出DVT的概率最大。
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.
关键词
髋关节疾病 /
非手术治疗 /
下肢深静脉血栓 /
影响因素
Key words
hip joint disease /
non operative treatment /
deep venous thrombosis /
influence factor
翟廷贵, 杨爱平, 沙建国, 高磊.
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[J]. 武警医学. 2018, 29(11): 1047-1050
ZHAI Tingui, YANG Aiping, SHA Jianguo, GAO Lei.
Lower extremity deep venous thrombosis in non operative patients with hip joint disease detected with color Doppler ultrasound[J]. Medical Journal of the Chinese People Armed Police Forces. 2018, 29(11): 1047-1050
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