[Diagnosis, treatment and prevention of postoperative deep venous thrombosis in gynecologic onocology].
OBJECTIVE
To describe the clinical profile of deep venous thrombosis (DVT) after operation on pelvic tumours and to study how to choose the methods of diagnosis, treatment and prevention of DVT.


METHODS
The clinical characteristics, the methods of diagnosis, treatment and prevention of 11 cases with DVT and 18 cases with the tendency to DVT were analyzed retrospectively.


RESULTS
Old age, fatness and oringinal pelvic malignant tumours were the high risk factors for postoperative DVT. Especially the patients with endometrial carcinoma were with the high incidence of DVT. Colour-code Doppler ultrasonography was the best choice to diagnose DVT. Heparin or low molecule weight heparin (LMWH) anticoagulation was effective treatment in postoperative DVT.


CONCLUSIONS
Old age, fatness and gynecologic malignant tumours should be considered as highrisk factors for postoperative DVT. Preoperative or postoperative prophylatic treatment of DVT should be considered in high risk population. Anticoagulation was effective in postoperative DVT.
Jin
L
L
Beijing Union Hospital, Chinese Academy of Medical Sciences, Beijing Union Medical College, Beijing 100730.
Shen
K
K
Lang
J
J
D000328:Adult; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control; D012189:Retrospective Studies; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control*
D000925:Anticoagulants; D006493:Heparin