椎间孔镜微创手术术后早期并发深静脉血栓形成的相关因素

李龙1 ，巴晶晶2，常再平1 ，李勇1*

（1.渭南市第二医院骨科，陕西 渭南，714000；2.渭南市妇幼保健院药剂科，陕西 渭南，714000）

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摘要：

目的 分析椎间孔镜微创手术术后早期并发深静脉血栓形成（DVT）的相关因素。方法 选取于我院行椎间孔镜手术的 患者79 例为研究对象，将并发DVT 的患者22 例作为DVT 组，未发生DVT 的患者57 例患者作为非DVT 组。对行椎间孔镜 手术患者DVT 形成的相关因素进行单因素及Logistic 多元回归分析。结果 单因素分析结果显示，两组患者的性别、吸烟史、糖尿病、凝血四项、术前下肢血管超声结果比较，差异具有统计学意义（P<0.05）。多因素Logistic 回归分析结果显示，吸烟 史≥10 年、糖尿病、凝血四项两项及以上异常是椎间孔镜手术患者术后DVT 形成的独立危险因素（P<0.05）。结论 临床上可 通过控制吸烟、糖尿病、完善凝血四项从而降低椎间孔镜微创手术术后DVT 形成的发生率，进一步提高手术的安全性。

关键词：椎间孔镜微创手术；DVT；相关因素；糖尿病

中图分类号：R687.3 文献标志码：A文章编号：2096-1413(2018)06-0104-02

Related factors of early deep venous thrombosis after minimally invasive operation of intervertebral foramen
LI Long 1, BA Jing-jing 2, CHANG Zai-ping 1, LI Yong 1 *
(1. Orthopedics Department, the Second Hospital of Weinan, Weinan 714000; 2. Pharmacy Department, Weinan Maternal and Child Health Hospital, Weinan 714000, China)

ABSTRACT: Objective To analyze the related factors of early deep venous thrombosis (DVT) after minimally invasive operation of intervertebral foramen. Methods A total of 79 patients with minimally invasive operation of intervertebral foramen were enrolled in this study. Twenty-two patients with DVT were selected as the DVT group, and 57 patients without DVT were selected as the non-DVT group. The related factors of DVT were analyzed by single factor and Logstic multiple regression analysis. Results The single factor analysis showed that there were significant differences in sex, smoking history, diabetes mellitus, coagulation and preoperative results of lower extremity vascular ultrasound between the two groups (P<0.05). The Logistic multiple regression analysis showed that smoking history≥10 years, diabetes mellitus and two or more coagulation abnormalities were the independent risk factors of DVT after minimally invasive operation of intervertebral foramen (P<0.05). Conclusion In order to reduce the incidence of DVT after minimally invasive operation of intervertebral foramen and improve the safety of the operation, smoking, diabetes mellitus and coagulation should be controlled.
KEYWORDS: minimally invasive operation of intervertebral foramen; DVT; relative factors; diabetes mellitus

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