老年下肢深静脉血栓形成与Cockett综合征
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刘贤华

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Deep venous thrombosis of lower extremity and Cockett′s syndrome in aged patients
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    摘要:

    摘要:
    目的 探讨老年人的下肢深静脉血栓形成(DVT)与Cockett综合征(CS)的关系。
    方法 将13年间收治的89例髂股静脉血栓患者,分成老年组和中青年组,分析两组DVT的发病原因,比较两组DVT与CS的关系。43例≥60岁者为老年组,46例<60岁者为中青年组,两组均行手术取栓治疗。
    结果 老年组伴有CS者25例,发生率为58.1%;中青年组伴有CS者37例,发生率80.4%,两组差异有显著性(P<0.05)。
    结论 CS是DVT的重要原因之一;老年人DVT伴CS的发生率较中青年低,而老年人因卧床、外伤骨折、肿瘤、高凝等因素所致的DVT患病率增高。

    Abstract:

    Abstract:Objective To study the relationship between deep venous thrombosis(DVT) of lower extremity and Cockett′s syndrome(CS) in aged patients.
    Methods Eighty nine patients with iliofemoral vein thrombosis, admitted during past 13 years, were divided into elder(>60 years)group and younger(≤60)group. Analysis of the pathogenesis of DVT in the 2 groups was made and the relationship of DVT and CS between the 2 groups was compared. There were 43 patients in elder group and 46 in younger group. All patients were treated by thrombectomy.
    Results There were 25 (58.1%) patients with concomitant CS in elder group and 37 (80.4%) in younger group. There was a significant difference between the two groups (χ2=5.2274, P<0.05).
    Conclusions CS is an important etiological factor for DVT. The incidence of DVT with CS in elder group is lower than that in younger group; but in the elderly, the incidence of DVT increases due to keeping to bed, trauma, fracture, tumor, high coagulability and other factors.

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刘贤华 ,赵军 ,董国祥 ,栾景源.老年下肢深静脉血栓形成与Cockett综合征[J].中国普通外科杂志,2005,14(6):10-.
DOI:10.7659/j. issn.1005-6947.2005.06.010

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  • 收稿日期:2004-09-10
  • 最后修改日期:2005-03-25
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  • 在线发布日期: 2005-06-25