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頁籤選單縮合
題名 | Clinical Significance of Muscular Deep-vein Thrombosis after Total Knee Arthroplasty=全人工膝關節置換術後下肢肌內血栓的臨床意義 |
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作者 | 王清貞; 王俊聞; 翁聆修; 黃宗正; 尤寶珠; Wang, Ching-jen; Wang, Jun-wen; Weng, Lin-hsiu; Huang, Chung-cheng; Yu, Pao-chu; |
期刊 | 長庚醫學 |
出版日期 | 20070100、20070200 |
卷期 | 30:1 2007.01-02[民96.01-02] |
頁次 | 頁41-46 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 肌靜脈血栓; 臨床意義; 全人工膝關節置換術; Muscular DVT; Clinical significance and TKA; |
中文摘要 | 背景:腓腸肌和比目魚肌靜脈血栓之意義仍然未知。本篇目的在評估全人工膝關節置換術後肌靜脈血栓的臨床意義。 方法:本實驗共收案359位接受全人工膝關節置換的病人,術後5-7天內以上行性靜脈血管攝影評估,證實有深部靜脈栓塞者三個月後再實行第二次靜脈血管攝影。評估項目包括臨床症狀,晚期深部靜脈栓塞及血栓傳播及肺栓塞。利用統計方法比較單獨腓肌靜脈血栓與主要靜脈血栓及合併血栓之異同。 結果:在359位病人中,有175位(49%)為陽性深部靜脈栓塞,包括160位遠端血栓及15位近端血栓。在160位遠端血栓病人中有83位(52%)包含有腓腸肌及比目魚肌靜脈血栓;83位病人中38位(46%)是單獨肌靜脈血栓,45位(54%)是肌靜脈合併前脛靜脈,後脛靜脈或腓靜脈。單獨肌靜脈血栓的病患臨床症狀,後期血栓,血栓傳播和肺栓塞和主要靜脈血栓病患或合併血栓病患的發生率並無統計上的差異。 結論:單獨肌靜脈血栓的臨床意義應等同於主要靜脈血栓及合併血栓,小腿肌靜脈血栓應視為有意義的臨床診斷並做適當治療。 |
英文摘要 | Background: The definition of gastrocneumus and soleus deep-vein thrombosis (DVT) remains controversial. The purpose of this study was to evaluate the clinical significance of muscular deep-vein thrombosis after total knee arthroplasty (TKA). Methods: This study consisted of 359 consecutive patients undergoing TKA evaluated for DVT by ascending venography. Venographies were performed 5 to 7 days after surgery. Those patients showing positive DVT underwent a follow-up venographic study at 3 months. The evaluation parameters included clinical symptoms, late DVT, thrombus propagation and pulmonary embolism. The data from patients with isolated muscular DVT were compared statistically with those patients with DVT of the leg veins and combined DVT. Results: Of 359 patients, 175 (49%) developed venographic DVT including 160 with distal and 15 with proximal DVT. Of the 160 cases with distal DVT, 83 (52%) involved the gastroneumus and soleus muscular veins. Of these 83 cases, 38 (46%) were isolated muscular DVT and 45 (54%) involved muscular branches and major leg veins including the anterior and posterior tibial and peroneal veins. Patients with isolated muscular DVT showed comparable rates of clinical symptoms, late DVT, thrombus propagation and no pulmonary embolism compared with patients with DVT in the major leg veins (p = 0.874, 0.398 and 1.000) and patients with combined DVT (p = 0.155, 0.592 and 1.000). Conclusion: The clinical significance of isolated muscular DVT is comparable to that of the major leg veins and combined DVT. Muscular DVT in the calf is considered a significant clinical entity and should be treated accordingly. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。