Prevention of deep vein thrombosis after total knee replacement

VernacularTitle:全膝关节置换术后深静脉血栓的预防
Author: Guofeng WU ; Xiaoliang SUN ; Weihong YAN
Publication Type:Journal Article
Keywords: total knee replacement; deep-vein thrombosis; prevention
From: International Journal of Surgery 2009;36(1):27-29
CountryChina
Language:Chinese
Abstract: Objective To investigate how to prevent deep-vein thrombosis(DVT) after total knee replace-ment(TKR).Methods Deep vein thrombosis in 87 patients after TKR from 2004 to 2007 in the Third Hospital Affiliated to Suzhou University was retrospectively analyzed.Results Amony the 87 patients,13 were found having deep vein thrombosis,5 of 38 using low-molecular-weight beparin after TKR having deep vein thrombosis,6 of 35 cases using aspirin after TKR having deep vein thrombosis,5 of the 10 eases using mechanical preventive measures having deep vein thrombosis.The difference between low-molecular-weight heparin and aspirin group was not statistically significant.Conclusion Using low-molecular-weight heparin before TKR can prevent the occurrence of deep-vein thrombosis.Using epidural anesthesia,and a low-molee-ular-weight heparin drugs or aspirin after TKR can better prevent the formation of deep-vein thrombosis.