슬관절 전 치환술 후 다중 검출기 컴퓨터 단층촬영정맥조영술을 이용한 심부정맥 혈전증의 진단 (Diagnosis of the Deep Vein Thrombosis with Multidetector-Row Computed Tomographic Venography after Total Knee Arthroplasty)

서지정보

· 발행기관 : 대한정형외과학회
· 수록지 정보 : 대한정형외과학회지 / 43권 / 3호 / 294 ~ 300페이지
· 저자명 : 송은규, 선종근, 박상진, 조성범, 최민선

초록

Purpose: Using the 64-channel multidetector-row computed tomographic venography (MDCT venography), we tried to know the incidence of the deep vein thrombosis (DVT) after total knee arthroplasty and the effectiveness of MDCT venography.
Materials and Methods: From April 2006 to December 2006, two groups of 280 consecutive patients, who underwent primary total knee arthroplasty, were enrolled in this study. We performed antithrombotic chemotherapy on the patients who were confirmed to have symptomatic DVT.
Results: For the first 140 consecutive cases, DVT was found in 48 (34%) patients and only 5 (3.6%) showed clinical symptoms of DVT. For the next 140 cases, 12 (8.6%) cases showed symptoms of DVT and in them 7 (5.0%) of these cases was diagnosed with symptomatic DVT. All the patients had recovered at the last follow-up and no other complications occurred in our series.
Conclusion: Sixty four-channel MDCT venography is valuable as a diagnostic test for DVT after total knee arthroplasty in terms of efficacy and accuracy. Antithrombotic chemotherapy is recommended after confirming the diagnosis with MDCT venography only for the patients with symptoms of DVT.

영어초록

Purpose: Using the 64-channel multidetector-row computed tomographic venography (MDCT venography), we tried to know the incidence of the deep vein thrombosis (DVT) after total knee arthroplasty and the effectiveness of MDCT venography.
Materials and Methods: From April 2006 to December 2006, two groups of 280 consecutive patients, who underwent primary total knee arthroplasty, were enrolled in this study. We performed antithrombotic chemotherapy on the patients who were confirmed to have symptomatic DVT.
Results: For the first 140 consecutive cases, DVT was found in 48 (34%) patients and only 5 (3.6%) showed clinical symptoms of DVT. For the next 140 cases, 12 (8.6%) cases showed symptoms of DVT and in them 7 (5.0%) of these cases was diagnosed with symptomatic DVT. All the patients had recovered at the last follow-up and no other complications occurred in our series.
Conclusion: Sixty four-channel MDCT venography is valuable as a diagnostic test for DVT after total knee arthroplasty in terms of efficacy and accuracy. Antithrombotic chemotherapy is recommended after confirming the diagnosis with MDCT venography only for the patients with symptoms of DVT.

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