Two mechanical methods for thromboembolism prophylaxis after gynaeeological pelvic surgery： a prospective, randomised study

• Published in: 中华医学杂志：英文版 no. 23; pp. 4259 - 4263
• Main Author: GAO Jie ZHANG Zhen-yu LI Zhan LIU Chong-dong ZHAN Yu-xin QIAO Bao-li SANG Cui-qin GUO Shu-li WANG Shu-zhen JIANG Ying ZHAO Na
• Format: Journal Article
• Language: English
• Published: 2012
• Subjects: GCS; 手术; 机械方法; 栓塞; 盆腔; 随机分配; 静脉血栓; 预防效果
• ISSN: 0366-6999; 2542-5641

Background Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings （GCS） and intermittent pneumatic compression （IPC） or GCS alone. Methods The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation （IPC＋GCS group）, The second group received GCS before the operation （GCS group）. To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed. Results The morbidity associated with DVT was 4.8% （5/104） in the IPC＋GCS group and 12.5% （14/112） in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group. Conclusions The therapeutic combination of GCS and prevention in high-risk patients undergoing gynaecological group.（No. ChiCTR-PRC-10000935）. IPC was more effective than GCS alone for thrombosis pelvic surgery, and there were no adverse effects in either