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| Related factors analysis of the incidence of the deep vein thrombosis of patients with hysteromyomectomy under the combined spinal epidural anesthesia |
| Daqing Longnan Hospital, Daqing, Heilongjiang Province, 163453 |
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Abstract To explore the related factors of the incidence of the deep vein thrombosis (DVT) of patients with hysteromyomectomy under the combined spinal epidural anesthesia. Methods: From January 2021 to January 2024, 200 patients who had undergone the hysteromyomectomy under the combined spinal epidural anesthesia were included and were divided into group A (patients with DVT) and group B (patients without DVT) according to the absence or presence the occurrence of DVT after surgery. The general data, the laboratory indicators values, the operative and postoperative conditions of the patients in the two groups were recorded. The relevant factors of the DVT occurrence of the patients with hysteromyomectomy under the combined spinal epidural anesthesia were analyzed. Results: In 200 patients, there were 24 (12.0%) patients with DVT occurred. There were no significant differences in the age, the smoking, the complication with hypertension or dyslipidemia, the preoperative myoma of uterus classification evaluated by American society of anesthesiologists (ASA), the largest location, the myoma number by hysteromyomectomy and the operation time of the patients between the two groups (P>0.05). The body mass index (BMI), the proportion of diabetes mellitus, the preoperative D-dimer level, the maximum myoma diameter, the intraoperative pneumoperitoneum pressure value, and the postoperative hemoglobin level and bed rest time of the patients in group A were significantly higher than those of the patients in group B (P<0.05). Multivariate logistic regression analysis showed that the high BMI, the diabetes, the high preoperative D-dimer level, the large maximum myoma diameter, the high intraoperative pneumoperitoneum pressure, the high postoperative hemoglobin level, and the long postoperative bed rest time of the patients were the independent risk factors of the DVT occurrence of the patients with the uterine myomectomy under combined spinal and epidural anesthesia (all P<0.05). Conclusion: There are many related factors of the DVT occurrence of the patients with the hysteromyomectomy under combined spinal epidural anesthesia, and the high-risk factors of the DVT occurrence of the patients should be paid attention to and the identification and the targeted intervention of the DVT occurrence should be given to the patients in clinic.
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