下肢骨折合并下肢肌间静脉血栓诊疗的专家共识（2026）

Expert consensus for the diagnosis and treatment of muscular calf vein thrombosis in patient with lower limb fracture（2026）

摘要

本专家共识旨在规范我国骨折患者围手术期下肢肌间静脉血栓的诊疗流程，帮助临床医生选择适宜方案，对骨折患者围手术期下肢肌间静脉血栓进行预防、诊断和治疗。参考国内外下肢肌间静脉血栓相关文献、系统性综述、临床研究及公认的诊治方法，按照循证专家共识制订流程，初步拟定31个临床问题，并运用德尔菲法对推荐意见进行调查。经德尔菲法对推荐意见的内容及推荐强度进行调查，删除6条争议较大、推荐强度一致性未达到预设标准的推荐意见，其余推荐意见的推荐强度一致性均达到预设标准。最终形成9个方面临床问题的19条推荐意见。实践指南注册：国际专家共识注册与透明化平台（PREPARE-2025CN934）

Abstract

This expert consensus was developed to standardize the diagnosis and treatment of lower-limb muscular calf vein thrombosis during the perioperative period in patients with fractures in China， and to help clinicians choose appropriate strategies for its prevention， diagnosis， and treatment. Based on domestic and international literature， systematic reviews， clinical studies， and widely accepted diagnostic and treatment practices related to lower-limb muscular calf vein thrombosis， 31 clinical questions were initially formulated according to the established process for developing evidence-based expert consensus. The Delphi method was used to survey the recommendations. The Delphi method was used to survey the content and recommendation strength of the proposed recommendations. Six controversial recommendations with inconsistent recommendation strength that failed to meet the preset criteria were deleted， while the remaining recommendations met the preset consistency criteria. Finally， 19 recommendations covering 9 clinical issues were developed. Practice Guideline Registration： Practice Guideline Registration for Transparency（PREPARE-2025CN934）

关键词

骨折 / 下肢肌间静脉血栓 / 诊断 / 治疗

Key words

Fractures， Bone / Muscular calf vein thrombosis / Diagnosis / Treatment

参考文献

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基金资助

北京市医院管理中心临床医学发展专项(ZLRK202311)

北京市科技计划项目(Z241100007724008)