アブストラクト
Title | 5 人工股関節全置換術周術期における静脈血栓塞栓症の予防と治療 |
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Subtitle | 特集 人工股関節のリハビリテーション治療の現況 |
Authors | 手塚太郎*, 稲葉裕* |
Authors (kana) | |
Organization | *横浜市立大学医学部整形外科学教室 |
Journal | The Japanese Journal of Rehabilitation Medicine |
Volume | 60 |
Number | 1 |
Page | 28-34 |
Year/Month | 2023 / 1 |
Article | 報告 |
Publisher | 日本リハビリテーション医学会 |
Abstract | 「要旨」人工股関節全置換術 (THA) 後の合併症のうち, 症候性肺血栓塞栓症 (PTE) はときに致死的な合併症となる. 必ずしも生死にかかわらない疾患にTHAを行うことで致死的な合併症のリスクを低確率とはいえ, 患者に負わせることは問題である. 本邦では2017年に日本整形外科学会から症候性静脈血栓塞栓症 (VTE) のガイドラインが刊行され, また2020年には整形外科手術の周術期におけるInternational Consensus Meetingが開催され, 整形外科領域におけるVTE予防は世界的にますます重要視されている. 本稿ではTHA周術期におけるVTEの予防および発症時の対応について解説する. |
Practice | 医療技術 |
Keywords | 静脈血栓塞栓症, 人工股関節全置換術, 予防 |
- 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Fujita S, Hirota S, Oda T, Kato Y, Tsukamoto Y, Fuji T: Deep venous thrombosis after total hip or total knee arthroplasty in patients in Japan. Clin Orthop Relat Res 2000;375:168-174
- 2) Nagase Y, Yasunaga H, Horiguchi H, Hashimoto H, Shoda N, Kadono Y, Matsuda S, Nakamura K, Tanaka S: Risk factors for pulmonary embolism and the effects of fondaparinux after total hip and knee arthroplasty: a retrospective observational study with use of a national database in Japan. J Bone Joint Surg Am 2011;93:e146
- 3) Wells PS, Owen C, Doucette S, Fergusson D, Tran H: Does this patient have deep vein thrombosis? JAMA 2006;295:199-207
- 4) Stein PD, Hull RD, Patel KC, Olson RE, Ghali WA, Brant R, Biel RK, Bharadia V, Kalra NK: D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism: a systematic review. Ann Intern Med 2004;140:589-602
- 5) Kearon C, Julian JA, Newman TE, Ginsberg JS: Noninvasive diagnosis of deep venous thrombosis. McMaster Diagnostic Imaging Practice Guidelines Initiative. Ann Intern Med 1998;128:663-677
残りの10件を表示する
- 6) Bates SM, Jaeschke R, Stevens SM, Goodacre S, Wells PS, Stevenson MD, Kearon C, Schunemann HJ, Crowther M, Pauker SG, Makdissi R, Guyatt GH: Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141(2 Suppl):e351S-e418S
- 7) Byun SS, Kim JH, Kim YJ, Jeon YS, Park CH, Kim WH: Evaluation of deep vein thrombosis with multidetector row CT after orthopedic arthroplasty: a prospective study for comparison with Doppler sonography. Korean J Radiol 2008;9:59-66
- 8) Cham MD, Yankelevitz DF, Shaham D, Shah AA, Sherman L, Lewis A, Rademaker J, Pearson G, Choi J, Wolff W, Prabhu PM, Galanski M, Clark RA, Sostman HD, Henschke CI: Deep venous thrombosis: detection by using indirect CT venography. The Pulmonary Angiography-Indirect CT Venography Cooperative Group. Radiology 2000;216:744-751
- 9) Mont MA, Jacobs JJ, Boggio LN, Bozic KJ, Della Valle CJ, Goodman SB, Lewis CG, Yates AJ Jr, Watters WC 3rd, Turkelson CM, Wies JL, Donnelly P, Patel N, Sluka P; AAOS: Preventing venous thromboembolic disease in patients undergoing elective hip and knee arthroplasty. J Am Acad Orthop Surg 2011;19:768-776
- 10) Aissaoui N, Martins E, Mouly S, Weber S, Meune C: A meta-analysis of bed rest versus early ambulation in the management of pulmonary embolism, deep vein thrombosis, or both. Int J Cardiol 2009;137:37-41
- 11) Kahn SR, Shrier I, Kearon C: Physical activity in patients with deep venous thrombosis: a systematic review. Thromb Res 2008;122:763-773
- 12) Falck-Ytter Y, Francis CW, Johanson NA, Curley C, Dahl OE, Schulman S, Ortel TL, Pauker SG, Colwell CW Jr: Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141(2 Suppl):e278S-e325S
- 13) 日本麻酔科学会:2017年JSA肺血栓塞栓症発症調査結果の概要. Available from URL: https://anesth.or.jp/files/download/news/kekka_haikessen2017.pdf
- 14) Mont M, Jacobs J, Boggio LN, Bozic KJ, Della Valle CJ, Goodman SB, Lewis CG, Yates AJ Jr, Watters WC 3rd, Turkelson CM, Wies JL, Donnelly P, Patel N, Sluka P; AAOS: Preventing venous thromboembolic disease in patients undergoing elective hip and knee arthroplasty. J Am Acad Ortho Surg 2011;19:768-776
- 15) 日本骨折治療学会深部静脈血栓症・肺血栓塞栓症調査検討委員会 編:骨折に伴う静脈血栓塞栓症エビデンスブック.全日本病院出版会,東京, 2010