摘要静脉血栓栓塞性疾病(VTE)是妇科盆腔手术后常见的并发症之一,其发生率逐年增高,所导致的死亡率亦有所升高,所以对妇科盆腔手术患者术后VTE的预防和治疗应给予高度重视.复习并总结妇科盆腔手术后并发VTE的病因、诊治和预防研究进展相关文献,认为妇科盆腔术后VTE的早期临床症状呈不典型性,临床上需要借助血小板计数、D-二聚体(D-Dimer)、凝血功能、双下肢彩超等辅助检查明确诊断.抗凝、抗血小板、弹力袜、间歇充气式加压泵、下腔静脉滤器等是其防治的主要方法.手术前后预防性治疗尤其重要.

abstractsVenous thromboembolism ( VTE) is one of the common complications of gynecological pelvic surgery. The incidence of VTE is increased year by year and the mortality was increased. Therefore the prevention and treatment of postoperative VTE in patients with gynecological pelvic surgery should be given high attention. Reviewing and summarizing the related literatures on the etiology, diagnosis, treatment and prevention of VTE after gynecological pelvic surgery, it is concluded that the early clinical symptoms of VTE after gynecological pelvic surgery are atypical, and clinical diagnosis needs to be made by means of platelet count, D-Dimer, coagulation function and color Doppler ultrasonography of both lower extremities. Anticoagulation, anti-platelet, elastic socks, intermittent pneumatic pressure pump and inferior vena cava filter are the main prevention and treatment methods. Preventive treatment before and after surgery is partic-ularly important.