Caprini评分系统联合D-二聚体检测对腹股沟疝术后深静脉血栓的预测价值

doi:10.3969/j.issn.2095-378X.2025.04.006

摘要/Abstract

摘要： 目的探究Caprini评分系统联合D-二聚体（D-D）检测对腹股沟疝术后深静脉血栓的预测价值。方法选取2022年10月—2025年9月行腹股沟疝手术治疗的290例患者,依据患者术后是否并发深静脉血栓分为研究组（发生深静脉血栓,90例）与对照组（未发生深静脉血栓,200例）。对比两组患者Caprini评分系统、D-D水平,并绘制受试者工作特征（ROC）曲线分析Caprini评分系统联合D-D对腹股沟疝术后深静脉血栓患者的预测价值。结果两组间性别、年龄、身高、体重指数（BMI）、呼吸频率、心率、手术时长、疝囊大小、麻醉方式、疝环粘连程度、疝类型比较,差异均无统计学意义（P>0.05）。研究组Caprini评分、D-D水平均高于对照组,差异有统计学意义（P<0.05）。Caprini评分系统联合D-D预测腹股沟疝术后深静脉血栓患者的效能显著高于两者单独预测,差异有统计学意义（P<0.05）。结论腹股沟疝术后深静脉血栓患者Caprini评分及D-D数值较高,两者联合检测有助于腹股沟疝术后深静脉血栓的诊断。

关键词: Caprini评分系统, D-二聚体, 腹股沟疝, 深静脉血栓, 预测价值

Abstract: Objective To explore the predictive value of Caprini scoring system combined with D-dimer （D-D） detection for deep vein thrombosis after inguinal hernia surgery. Methods This study was conducted from January 2022 to September 2025, with a sample of 290 patients who underwent inguinal hernia surgery. The patients were divided into a study group of 90 cases （patients with deep vein thrombosis） and a control group of 200 cases （patients without deep vein thrombosis） based on whether they developed deep vein thrombosis after surgery. The Caprini scores and D-D levels of the two groups were compared, and the receiver operating characteristic （ROC） curve was drawn to analyze the predictive value of the Caprini scoring system combined with D-D for patients with deep vein thrombosis after inguinal hernia surgery. Results There was no statistically significant difference in sex, age, height, body mass index （BMI）, respiratory rate, heart rate, surgical duration, hernia sac size, anesthesia method, degree of hernia ring adhesion, and hernia type （P>0.05）. The Caprini score and D-D level in the study group were significantly higher than those in the control group （P<0.05）. The efficiency of Caprini scoring system combined with D-D in predicting patients with deep vein thrombosis after inguinal hernia surgery were significantly higher than those of single detection of the two indicators （P<0.05）. Conclusion The Caprini score and D-D levels are higher in patients with deep vein thrombosis after inguinal hernia surgery. The combined detection of the two is helpful for the diagnosis of deep vein thrombosis after inguinal hernia surgery.

Key words: Caprini scoring system, D-dimer, Inguinal hernia, Deep vein thrombosis, Predictive value

中图分类号:

R656.21

谢事成, 沈琦. Caprini评分系统联合D-二聚体检测对腹股沟疝术后深静脉血栓的预测价值[J]. 外科研究与新技术（中英文）, 2025, 14(4): 331-334.

XIE Shicheng, SHEN Qi. Predictive value of Caprini scoring system combined with D-dimer detection for deep vein thrombosis after inguinal hernia surgery[J]. Surgical Research and New Technique, 2025, 14(4): 331-334.

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