Many pregnant mothers will find "thicker legs" after pregnancy. Swelling of lower limbs is a common phenomenon during pregnancy, but there is a kind of leg swelling during pregnancy, but it may be a thrombosis -deep venous thrombosis (DVT) in the lower limbs.It is likely to endanger life.
Due to the special period of pregnancy, deep venous thrombosis of the lower limbs should be removed, and traditional surgical treatment needs to be completed under X -ray irradiation, which is difficult to completely avoid the effect of radiation on pregnant mothers and fetuses.The minimally invasive "new recruitment" of the 3rd Hospital of Guangzhou Medical University, while effectively treating deep venous thrombosis, it avoids X -ray illumination while effectively treating deep vein thrombosis and escorting the safe pregnancy of pregnant mothers.
Yang Chengyu Guangzhou Medical University’s Third Hospital Director of Vascular Surgery, Director of Surgery Training Base, Chief Physician, Master Graduate Tutor, Lingnan Famous Doctor
The calf is swollen during pregnancy, be careful of this hidden killer
Lien Lin (a pseudonym), a quasi -second mother, who was 30 weeks old at the age of 30, suddenly found the left lower limb edema and pain two weeks ago. She thought it was a normal reaction during pregnancy, but after a few days of rest, the swelling of the left lower limb was not significantly relieved.
Lin Lin felt that the situation was wrong and went to the nearby hospital for treatment. As a result, she took a deep breath. The color Doppler reminder was formed by deep venous thrombosis of the left lower limb.Linlin was immediately hospitalized in the hospital for conservative treatment such as anticoagulation and swelling, but her lower limb swelling has not significantly improved.In order to further treat blood emboli, Linlin accompanied the family members of the third hospital affiliated to Guangzhou Medical University with her family.
Yang Chengyu, director of the vascular surgery of the Third Hospital of Guangyi, introduced that combined with the inspection of admission, considering Linlin diagnosis as a deep vein thrombosis (mixed type) of the left lower limb deep vein (mixed), which accumulated the iliac vein and femoral vein, etc.The risk of loosening caused a high risk of severe pulmonary embolism, threatening the safety of mothers and fetuses.
"During the special period of pregnancy, the blood is in a high -coordinated state, and thrombosis is prone to occur. The lower limbs suddenly swell, pain or pumping. Throughout the thrombus are tender, these are common symptoms of lower limb thrombosis during pregnancy." Yang Chengyu introduced.
In our country, the incidence of pregnancy with deep venous thrombosis has continued to rise in recent years, and the standard, full, and sufficient anticoagulation is the basic treatment formed by the formation of deep venous thrombosis, which can avoid thrombosis and spread.However, for patients with extensive deep venous thrombosis like Linlin, simply anticoagulation cannot effectively dissolve blood thrombus and achieve the effect of resurrecting blood vessels. In particular, under high -risk factors such as pregnancy, it is necessary to consider involvement in minimally invasive surgery to remove thrombosis.
Under the guidance of color Doppler ultrasound, the mechanical clears deep vein thrombosis, and the mother and baby are safe
"Do surgery? Will it affect the baby in my stomach?" Lin Lin was a little hesitant to hear surgery.
It is not difficult to understand Linlin’s concerns. The X -ray filmmaking during the operation will expose the mother and fetus to radiation for a certain time, which may cause abnormal or even abortion of the fetus in the early stage.Essence
How to help patients get rid of the distress of deep venous thrombosis, but also ensure that they do not affect the normal development of the fetus, and completely eliminate the patient’s concerns?Yang Chengyu’s vascular surgery team of the Third Hospital of Guangyi decided to use new tricks for Linlin.
After fully communicating with the patients and family members and preparing preoperative preparation, the team of chief physician Yang Chengyu successfully implemented a minimally invasive thrombosis treatment of deep left lower limb thrombosis under the ultrasound assistance of color Doppler ultrasound and ultrasound assistance in the blood vessels.During the surgery, the thrombus and operations were accurately determined under the guidance of the in vitro ultrasound. At the same time, the ultrasound auxiliary dynamic dynamic dynamic dynamic dynamic dynamic dynamic dynamic dynamic dynamic dynamic detection of thrombosis was detected. Finally, the thrombosis was effectively removed.
Color ultrasound guidance (left) and internal ultrasound assistance (right) real -time monitoring and evaluation
The surgery is very smooth, and the amount of bleeding is about 50ml.After surgery, Linlin’s life signs were stable, and the swelling of her left leg was significantly reduced.The fetal color Doppler ultrasound reminds the fetus to develop normally, which is in line with the performance of the gestational week. Deep venous thrombosis of the lower limbs can be seen significantly.The degree can continue pregnancy.
Ultrasonic guidance and intranerocular ultrasound assistance under the treatment of deep venous thrombosis of the left lower limb
One week after surgery, Linlin returned well and was discharged smoothly.In the future, Linlin still needs to conduct regular anticoagulant treatment and wearing elastic socks during pregnancy, and regularly follow -up to follow -up.
Reminder: "Easy to embarrants" during pregnancy, you need to do a good job of thrombosis
The formation of venous thrombosis is blood stasis, blood vessel damage and high coagulation state.The high-coordination state and uterus of pregnant women have gradually increased the decrease in compression of backloping veins and subordinate activities that cause venous blood stasis. The risk of venous thrombosis is 4-5 times that of ordinary people.
To prevent the occurrence of venous thrombosis, Director Yang reminded expectant mothers:
Pay attention to rest, avoid tiredness, avoid sedentary and long stand;
Appropriate activities can do some relatively gentle exercises according to the situation during pregnancy, such as walking, yoga, pregnant women exercises, etc.;
You can choose to raise your lower limbs 15-30 ° when you sleep;
Control the intake of salt;
When necessary, wear appropriate medical stretch socks under the guidance of a specialist;
If you find uncomfortable swelling and pain in your lower limbs, you should go to the vascular surgery in a timely manner.
Transfer: Guangzhou Health Commission
Source: Jingshi Health Home