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腹膜外盆腔包装与血液动力学不稳定的盆腔骨折的血管血管栓塞:一个回顾性单中心分析
Jisen Chu1, Changyuan Xie1, Jiaojiao Fu1
1Department of Vascular Intervention, Yuyao People's Hospital, Zhejiang Province, China.
The Journal of international medical research
|October 28, 2023
概括
血管造血栓塞 (AE) 和腹膜外骨盆包装 (EPP) 对于创伤性骨盆骨折是有效的. AE显示了较低的输血量和较短的住院时间,这使得它更适合血液动力学稳定的严重出血患者.
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
- 紧急医疗 紧急医疗
背景情况:
- 创伤性骨盆骨折往往涉及严重的出血,这带来了重大的临床挑战.
- 有效的管理策略对于降低死亡率和发病率至关重要.
研究的目的:
- 为了比较血管学栓塞 (AE) 和外腹骨盆包装 (EPP) 在创伤性骨盆骨折的临床结果.
- 为选择适当的治疗方案提供基于证据的建议.
主要方法:
- 在2015年1月至2023年5月期间,对110名患有创伤性骨盆骨折的患者进行了追溯分析,这些患者接受了AE或EPP治疗.
- 主要结局的比较,包括AE和EPP组之间的死亡率和并发症发生率.
主要成果:
- 与EPP组 (9.4%) 相比,AE组的死亡率略低 (7.3%).
- 接受AE治疗的患者需要总体输血量显著降低,住院时间比接受EPP治疗的患者更短.
结论:
- AE和EPP都证明了创伤性骨盆骨折的有效治疗结果.
- 建议AE用于经历严重出血的血液动力稳定患者.
- 应将EPP视为主要治疗,AE作为重症患者的补充选择.
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