Objective:To analyze the validity of Caprini risk assessment scale in the evaluation of lower extremity deep vein thrombolysis(DVT)risk in gynecologic cancer patients after surgery. Methods:Fifty-three cases of DVT patients admitted were collected as DVT group, and 106 patients without DVT admitted during the same period were selected as control group. Risks in patients of both groups were retrospectively assessed with the Caprini risk assessment model. Results:Caprini score(7.8±2.6)of DVT group was higher than that of the control group(4.1±2.2)(P<0.001); the proportion of highest risk was 56.6% followed by higher risk(22.6%). In the control group, the proportion of the highest risk was 30.2% followed by low risk(29.2%), showing statistically significant difference between the two groups(P<0.001). The results indicated that obesity, pneumonia(<1 month), edema of lower extremity(<1 month), surgery(<1 month)and malignant tumor(past or present), DVT/PE disease history and DVT/PE family history were the major risk factors of the occurrence of DVT in patients with gynecological malignant tumor after operation. The highest and higher risk patients of gynecological malignant tumors evaluated with the Caprini risk assessment model were at higher risk for DVT. Compared with the low-risk patients, the incidence of DVT in the highest and higher risk of gynecologic malignant tumor patients scored by Caprini was respectively 12.743 and 2.132 times higher. Conclusion:Caprini risk assessment model can effectively assess the risk of DVT in gynecologic cancer patients after surgery. |
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