背景:深静脉血栓(DVT),经皮肾镜取石术(PCNL)后的常见并发症,可能会导致肺栓塞等严重疾病.目前对术后DVT危险因素的认识是,然而,limited.我们研究的目的是调查PCNL后DVT的风险。
方法:对2020年3月至2023年3月在我们机构接受PCNL的患者进行了回顾性研究。患者人口统计学和临床数据,包括,DVT特定信息,术前实验室,和手术细节,进行了评估。
结果:纳入了100例患者。32(20名男性,12名女性,平均年龄52.5±7.4岁)术后发生下肢DVT,而其余68名(48名男性,20名女性,平均年龄51.1±5.5岁)无DVT症状。分析显示高脂血症,操作时间,术后卧床时间,术后第一天D-二聚体水平,Caprini风险评估模型(RAM)评分,和DVT风险。经皮肾镜取石术后第一天D-二聚体,术后卧床休息时间和CapriniRAM评分是PCNL术后DVT的独立危险因素。性,年龄,高血压状态,糖尿病状态以及吸烟和饮酒习惯与DVT风险无显著相关.
结论:PCNL后第一天的D-二聚体,术后卧床休息时间和CapriniRAM评分是PCNL术后DVT的独立危险因素。
BACKGROUND: Deep vein thrombosis (DVT), a frequent complication following percutaneous nephrolithotomy (PCNL), may lead to severe conditions like pulmonary embolism. Current knowledge on postoperative DVT risk factors is, however, limited. The aim of our study was to investigate the risk of DVT after PCNL.
METHODS: A retrospective study was conducted on patients who underwent PCNL from March 2020 to March 2023 at our institution. Patient demographics and clinical data, including, DVT-specific information, preoperative labs, and surgical details, was evaluated.
RESULTS: One hundred patients were included. Thirty-two (20 males, 12 females, mean age 52.5 ± 7.4 years) developed lower limb DVT post-surgery, while the remaining 68 (48 males, 20 females, mean age 51.1 ± 5.5 years) had no DVT symptoms. Analysis revealed significant correlations between hyperlipidemia, operating time, postoperative bed rest duration, D-dimer level on the first day after surgery, Caprini risk assessment model (RAM) score, and DVT risk. D-dimer on the first day after percutaneous nephrolithotomy, postoperative bed rest time and Caprini RAM scores were independent risk factors for DVT after PCNL. Sex, age, hypertension status, diabetes status and smoking and drinking habits were not significantly associated with DVT risk.
CONCLUSIONS: D-dimer on the first day after PCNL, postoperative bed rest time and Caprini RAM scores were independent risk factors for DVT after PCNL.