Incidence and methods of diagnosis of postoperative Deep Vein Thrombosis in A symptomatic patients

الملخص

This is prospective study which was carried on( 100) patients with one or more of risk factor for the development of DVT who were admitted in the surgical units in Hilla General Teaching Hospital during the period from of January 2010 to the december 2012. The Aim of the study was to identify the incidence of DVT in postoperative patients, To identify the clinicl presentation of patients with DVT, and to verify the best methods of diagnosis of the DVT.
This study was done on 100 patients who were divided into 3 groups according to the most common presentation .All patients with one or more risk factor for the development of DVT who were subjected postopretively for duplex study of lower limb veins and D.D.protein assay.
The incidence of development of postoperative DVT increase with age,weight,majorsurgery,long duration of surgical procedure, long period of hospitalization and in urgent surgeries.
The most common presentation were unilateral leg swelling ,calf pain , tenderness and homan"s sing.
There is a statistically significant correlation between the duplex study and D.D. protein and incidence of DVT.
The combination of the D.D. protein estimation and duplex study of lower limb vessels in patients with clinical features suggestive of DVT is the mainstay of diagnosis of DVT.