伪动脉瘤的栓塞与形骨创伤的改善结果有关
Navpreet K Dhillon1, Melike N Harfouche1, Kristy L Hawley1
1Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Maryland.
The Journal of surgical research
|October 15, 2023
概括
在形创伤后,脏伪动脉瘤 (PSA) 的血管栓塞可以减少非手术管理的失败. 这项研究比较了脏动脉栓塞与创伤患者没有栓塞的结果.
科学领域:
- 创伤外科 手术 创伤外科
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 粗的脏创伤可能导致脏伪动脉瘤 (PSA).
- 在重创伤后,对所有PSA进行血管栓塞的必要性尚不清楚.
- 对PSA的管理策略包括脏动脉栓塞 (EMBO) 和观察 (NO-EMBO).
研究的目的:
- 为了比较PSA患者的结果与脏动脉栓塞管理与没有栓塞后形创伤.
- 为了确定非操作性PSA管理策略的有效性.
主要方法:
- 在初始CT扫描 (2016-2021) 上,对患有形骨创伤和PSA患者的回顾性审查.
- 排除需要紧急脊髓切除术或在出院前死亡的患者.
- 主要结局:非手术管理失败 (FNOM),定义为需要延迟脊髓切除术或栓塞.
主要成果:
- 包括156名患者:EMBO组96名,NO-EMBO组60名.
- 人口统计和伤害机制在各组之间是相似的.
- 与NO-EMBO组 (13.3%,P=0.02) 相比,EMBO组的FNOM率 (3.1%) 显著较低.
结论:
- 对PSA的动脉栓塞与非手术治疗失败率较低有关.
- 需要进一步的研究来澄清PSA的直接栓塞是否推动了改善的结果.
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