Exploring the Risk Factors for Deep Vein Thrombosis after Percutaneous Nephrolithotomy

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2024-04-20 DOI:10.62713/aic.3308

Jia Wei He, Zhan Peng Zhu, Xiao Yan Cai, Yan-Feng Su, Pei Zhen Li

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引用次数: 0

Abstract

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.

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探究经皮肾镜碎石术后深静脉血栓形成的风险因素

背景：深静脉血栓（DVT）是经皮肾取石术（PCNL）后的常见并发症，可能导致肺栓塞等严重情况。然而，目前对术后深静脉血栓风险因素的了解还很有限。我们的研究旨在调查 PCNL 术后发生深静脉血栓的风险。研究方法我们对 2020 年 3 月至 2023 年 3 月期间在本院接受 PCNL 的患者进行了回顾性研究。评估了患者的人口统计学和临床数据，包括深静脉血栓的特异性信息、术前实验室检查和手术细节。结果：共纳入 100 名患者。32例（男性20例，女性12例，平均年龄（52.5 ± 7.4）岁）患者在手术后出现下肢深静脉血栓，其余68例（男性48例，女性20例，平均年龄（51.1 ± 5.5）岁）患者无深静脉血栓症状。分析显示，高脂血症、手术时间、术后卧床时间、术后第一天的 D-二聚体水平、Caprini 风险评估模型（RAM）评分与深静脉血栓风险之间存在明显的相关性。经皮肾镜碎石术后第一天的 D-二聚体、术后卧床时间和 Caprini RAM 评分是 PCNL 术后深静脉血栓形成的独立风险因素。性别、年龄、高血压状况、糖尿病状况以及吸烟和饮酒习惯与深静脉血栓风险无明显关系。结论PCNL术后第一天的D-二聚体、术后卧床休息时间和Caprini RAM评分是PCNL术后深静脉血栓形成的独立危险因素。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.