| 李一兵,李建军,孙自强,靳松.DVT患者肺栓塞相关因素研究[J].济宁医学院学报,2020,43(3):198-201 |
| DVT患者肺栓塞相关因素研究 |
| The study on the related factors of pulmonary embolism in DVT patients |
| 投稿时间：2020-03-02 |
| DOI：10.3969/j.issn.1000-9760.2020.03.011 |
| 中文关键词: 下肢深静脉血栓;肺栓塞;髂静脉受压 |
| 英文关键词: Deep venous thrombosis;Pulmonary embolism;Compression of left iliac vein |
| 基金项目: |
| 作者 | 单位 | E-mail | | 李一兵 | 济宁医学院临床医学院, 济宁 272013 | | | 李建军 | 济宁医学院临床医学院, 济宁 272013
济宁医学院附属医院, 济宁 272029 | lixv16@sohu.com | | 孙自强 | 济宁医学院附属医院, 济宁 272029 | | | 靳松 | 济宁医学院附属医院, 济宁 272029 | |
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| 中文摘要: |
| 目的 研究下肢深静脉血栓（DVT）患者发生肺栓塞的相关因素，探索左髂静脉狭窄程度与肺栓塞的关系。方法 收集2017年1月到2019年12月在济宁医学院附属医院血管外科收治并诊断为下肢DVT并行CT肺动脉成像与CT髂静脉成像检查的患者192例。按照是否发生肺栓塞，分为肺栓塞组（93例）和无肺栓塞组（99例），分别测量各组患者的左髂静脉狭窄百分比，并收集可能引发肺栓塞的其他因素作为调整变量，应用单因素分析及多因素二元logistic回归分析方法分析影响下肢DVT患者发生肺栓塞的因素，探讨左髂静脉狭窄百分比与肺栓塞的关系。结果 肺栓塞组左髂静脉狭窄百分比45.88%（13.25%~64.62%），无肺栓塞组左髂静脉狭窄百分比58.86%（44.66%~67.90%），两组差异具有统计学意义（Z=-3.138，P<0.05）。调整心脏疾病史、静脉曲张史、D-二聚体异常后，左髂静脉狭窄百分比每增加1%，发生肺栓塞的风险降低0.984（P<0.05）。结论 DVT患者左髂静脉狭窄百分比对肺栓塞有影响，随着左髂静脉管腔的狭窄程度增加，肺栓塞发生的可能性降低。在临床上更多的关注患者髂静脉狭窄程度可能有助于减少肺栓塞的发生。 |
| 英文摘要: |
| Objective To study the related factors of pulmonary embolism in patients with deep vein thrombosis of the lower extremities,and to explore the relationship between the degree of left iliac vein stenosis and pulmonary embolism.Methods From January 2017 to December 2019,192 patients were collected who were admitted to the vascular surgery of the Affiliated Hospital of Jining Medical University and diagnosed as deep vein thrombosis of the lower extremities and underwent CT pulmonary artery imaging and CT iliac vein imaging.According to the occurrence of pulmonary embolism,the patients were divided into pulmonary embolism group (93 cases) and non pulmonary embolism group (99 cases).The percentage of left iliac vein stenosis in each group was measured,and other factors that may cause pulmonary embolism were collected as adjustment variables.Single factor analysis and multi factor binary logistic regression analysis were used to analyze the factors influencing the occurrence of pulmonary embolism in patients with lower extremity deep vein stenosis thrombosis.In order to get the relationship between the percentage of left iliac vein and pulmonary embolism.Results The percentage of left iliac vein stenosis was 45.88 (13.25%~64.62)% in the pulmonary embolism group and 58.86 (44.66-67.90)% in the non pulmonary embolism group.The difference between the two groups was statistically significant (Z=-3.138,P<0.05).After adjusting the history of heart disease,varicose vein and D-dimer abnormality,the risk of pulmonary embolism decreased by 0.984 (P<0.05) for every 1% increase in the percentage of left iliac vein stenosis.Conclusion The percentage of left iliac vein stenosis in DVT patients has an effect on pulmonary embolism.With the stenosis of left iliac vein lumen,the probability of pulmonary embolism is decreased.More attention to the degree of ilium vein stenosis may be helpful to reduce the incidence of pulmonary embolism. |
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