下肢人工関節置換術後の深部静脈血栓症の発生頻度と危険因子の検討

• 藤田 悟

  大阪府立病院整形外科

• 冨士 武史

  大阪府立病院整形外科

書誌事項

タイトル別名

• Occurrence and Risk Factors of Postoperative Deep Vein Thrombosis in Patients who Underwent Total Hip or Total Knee Arthroplasty.

抄録

Occurrence of postoperative deep vein thrombosis (DVT) and its risk factors were assessed in patients who had undegone total hip arthroplasty (THA) or total knee arthroplasty (TKA) in our hospital for the years of August 1993 through July 1997. The patients enrolled were 127 and 110 for the respective operation groups, and DVT was surveyed by venography two weeks after the surgery. Postperative DVT was detected in 21.1% (95% Confidence interval: 14.4-29.2%) of patients in the THA group and 47.8% (38.4-57.3%) of those in the TKA group. The incidence of DVT was found to be significantly correlated with the type of surgery (p<0.001), the body mass index (BMI) (p<0.001) and age (p=0.004) among eight possible risk factors including other five, i.e., sex, underlying diseases, side of operated legs, time required for surgery and application of bone cement. Based on the results, we propose a multivariate model for the probability of postoperative DVT (P): log (P/1-P)=-5.60+0.98 a+0.27b+0.11c, where ‘a’ is the type of surgery (THA=0, TKA=1), ‘b’, the age divided by the number of 10, and ‘c’, the BMI.

収録刊行物

• 日本血栓止血学会誌

  日本血栓止血学会誌 9 (5), 367-374, 1998

  一般社団法人 日本血栓止血学会

キーワード

• deep venous thrombosis (DVT)
• total hip arthroplasty (THA)
• total knee arthroplasty (TKA)
• venography
• body mass index (BMI)

詳細情報

• CRID: 1390282679422370176
• NII論文ID: 130004262550
• NII論文ID: 10008632823
• NII書誌ID: AN10353762
• DOI: 10.2491/jjsth.9.367
• ISSN: 18808808
• ISSN: 09157441
• ISSN: http://id.crossref.org/issn/09157441
• Web Site: https://search.jamas.or.jp/link/ui/1999076975
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可