脊柱围手术期深静脉血栓诊治的现状△

Current diagnosis and treatment of deep vein thrombosis in the perioperative period of the spinal surgeries

摘要:

深静脉血栓是指静脉回流障碍引起局部肿胀和疼痛，可引起肺栓塞等严重并发症。脊柱外科的患者深静脉血栓发生率有较大差异，与疾病类型、监测方法、监测时间等因素有关。抗凝是首选的治疗方法，最佳的抗凝药物和治疗时间取决于临床评估。本文就脊柱外科常见疾病例如腰椎退变、脊柱骨折、颈椎病等在围手术期深静脉血栓形成的发病率、早期诊断与治疗的现状做一综述，为临床提供参考。

Abstract:

Deep vein thrombosis refers to local swelling and pain caused by disorders of venous return, which can cause serious compli-cations such as pulmonary embolism. The incidence of deep vein thrombosis in patients undergoing spinal surgery varies greatly, which is re-lated to factors such as disease type, monitoring method, and monitoring time. Anticoagulation remains the treatment of choice, and the opti-mal anticoagulant and duration of treatment depends on clinical evaluation. This article reviews the incidence, early diagnosis and treatmentof common diseases in spine surgery, such as lumbar degenerative surgery, spinal fracture, cervical spondylosis and so on in the periopera-tive period, so as to provide a reference for clinical practice.