膝關節置換術後發生下肢靜脈血栓之評估

The Incidence of Deep Vein Thrombosis after Total Knee Replacement

蔣獻文(H-W Chiang) ； 蔣獻仁(H-J Chiang) ； 陳俊龍(C-L Chen) ； 王裕生(Y-S Wang) ； 陳拓榮(T-J Chan) ； 趙世裕(S-Y Chao) ； 黃宗正(C-C Huang)

《中華放射線技術學雜誌》 28卷2期 (2004/12) Pp. 135-141

https://doi.org/10.30045/CJRT.200412.0005

摘要

因下肢開刀住院之患者，時常發生深層靜脈血栓。本文探討以下肢靜脈攝影術方法，檢查患者雙腳為基準，比較在手術前和手術後一週，發生深層靜脈血栓之機率。研究篩選的病患範圍為作關節置換術之病人，評估術後下肢靜脈血栓發生率。本研究於90年6月至91年元月間進行，共收集了53位施行膝關節手術個案之患者，包括17名男性和36名女性，其年齡層從39歲至83歲，平均年齡68.7歲。男性17位中有8位發生深層靜脈血栓(Deep Vein Thrombosis, DVT)，發生機率為47%，約二個就有1位發生；而女性36位中有26位發生深層靜脈血栓，發生機率72%，平均約每三位就二位發生。數據顯示手術後導致發生深層靜脈血栓機率增加64%，且女性術後造成深層靜脈血栓之發生率較男性高。

關鍵字

靜脈血栓 ； 膝關節 ； 發生機率 ； 靜脈攝影術

並列摘要

Deep vein thrombosis (DVT) is a common complication among patients underwent total knee replacement (TKR). This study evaluated the incidence of deep vein thrombosis one week following the total knee replacement with bilateral lower extremity venography. During the half year interval from June 2001 to January 2002, 53 patients (17 males and 36 females, aged 39 to 83 years old with mean age of 68.7 years) underwent TKR were investigated. Bilateral lower extremities venography for each subject was performed before and one week after the operation. The group of male and female was reevaluated separately. The total incidence of DVT after TKR is about 64%. The tabulated incidence is 47% (8/17) and 72% (26/36) in the male and female group, respectively. According to our study, females are more susceptible to DVT after TKR than males. It also shows the incidence of DVT after TKR is high with incidence of 64% of patients suffered from it.

並列關鍵字

deep vein thrombosis ； knee joint ； incidence ； venography