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| Effects of ultrasound parameters and serum fibrinogen, D-dimer on the occurrence of lower extremity deep venous thrombosis after cesarean section |
| YUAN Juanjuan LU Jianyuan WANG Yajing▲ |
Department of Ultrasound, Suzhou Integrated Traditional and Western Medicine Hospital Suzhou Mudu People’s Hospital, Jiangsu Province, Suzhou 215000, China
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Abstract Objective To investigate the effects of ultrasound parameters and serum fibrinogen (FIB) and D-dimer (D-D) on the occurrence of lower extremity deep venous thrombosis (DVT) after cesarean section. Methods The clinical data of 82 women who underwent cesarean section in Suzhou Integrated Traditional and Western Medicine Hospital of Jiangsu Province from March 2019 to March 2022 were retrospectively analyzed. They were divided into DVT group and uncomplicated group according to whether postpartum DVT was concurrent or not. The general data, ultrasound parameters (peak systolic velocity [PSV], resistance index [RI], and pulsatility index [PI]) and serum FIB, D-D levels between two groups were analyzed; logistic regression analysis was used to analyze the influencing factors of DVT after cesarean section; receiver operating characteristic (ROC) curve was used to analyze the diagnostic value of ultrasound parameters PSV, RI, PI combined with serum FIB and D-D in DVT after cesarean section. Results DVT occurred in 22 of 82 parturients after cesarean section. The proportion of hyperlipidemia history, thrombosis history, and RI, PI, D-D, and FIB in DVT group were higher than those in uncomplicated group, and PSV was lower than that in uncomplicated group (P＜0.05). Hyperlipidemia history, thrombosis history, PSV, RI, PI, D-D, and FIB were the influencing factors of DVT after cesarean section (P＜0.05). The area under the curve of ultrasonic parameters PSV, RI, PI combined with serum D-D and FIB in the diagnosis of DVT after cesarean section were larger than each single test. Conclusion The ultrasonic parameters PSV of DVT patients after cesarean section decreased, RI and PI increased, and serum D-D and FIB levels increased. The combined test has higher diagnostic value.
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