Analysis of the related factors of deep vein thrombosis after gynecological tumor surgery

  • Yanchuan Li Department of Obstetrics, Shaanxi Provincial People’s Hospital
  • Wen Jin* Gynecology, Shaanxi Provincial People’s Hospital
Keywords: Gynecologic Tumor; Postoperative Deep Vein Thrombosis; Influencing Factors

Abstract

Objective To investigate the risk factors of deep vein thrombosis (DVT) in patients after gynecological tumor surgery. Methods From March 2014 to March 2024, 57 patients with deep vein thrombosis after surgical treatment in the Department of Oncology and gynecology of our hospital were selected as the research sample, and were included in the observation group. In addition, 55 patients without deep vein thrombosis after gynecological tumor surgery were included in the control group. The clinical data of the patients were collected, and the related factors of postoperative deep vein thrombosis were analyzed. Results Univariate analysis showed that age, BMI, operation time, operation range, hypertension and diabetes, platelet count, benign and malignant tumor, preoperative fluid infusion were related to the occurrence of postoperative deep vein thrombosis (P < 0.05). Multiple regression analysis showed that age > 40 years, BMI>25 kg/m2, malignant tumor, hypertension and diabetes, platelet count > 300×109/L were independent risk factors for postoperative DVT, while preoperative fluid infusion was a protective factor for postoperative DVT. Conclusion Age, BMI, malignant tumor, combined cardiovascular technology and platelet count are related to the occurrence of deep vein thrombosis after gynecological tumor surgery, and no preoperative fluid infusion is a protective factor.

References

[1] Pan He. Exploring the formation mechanism of lower extremity deep vein thrombosis based on multi-omics technology[D]. Jilin

University,2021.DOI:10.27162/d.cnki.gjlin.2021.002654.

[2] Li Z, Zhang Z. The incidence and risk factors of venous thromboembolism following elective gynecological surgeries without systemic thromboprophylaxis--an observational cohort study in a Chinese tertiary hospital. Clin Exp Obstet Gynecol. 2016;43(3):365-9. PMID:

27328492.

[3] Zaw HM ,Osborne IC ,Pettit PN ,et a1.Risk factors for venous thromboembolism in orthopedic surgery.Isr Med Assoc J,

2002,4 (11):1040—1042.

Published
2025-01-13
Section
Review Article