动脉血管栓塞与前腹膜骨盆包装在血动力学不稳定的患者复杂的骨盆骨折:一个元分析
Filippo Migliorini1,2, Federico Cocconi3, Inger Schipper4
1Department of Orthopaedics, Trauma and Reconstructive Surgery, RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany. migliorini.md@gmail.com.
概括
血管栓塞 (AE) 和腹前骨盆包装 (PPP) 在不稳定的骨盆骨折中是可比的. 两项干预都没有显示出死亡率,输血或住院时间的显著差异,尽管AE需要更长时间.
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:
- 在血液动力学不稳定的患者中,复杂的骨盆骨折通常需要紧急干预.
- 血管栓塞 (AE) 和腹前盆腔包装 (PPP) 是关键的治疗方法.
- 在AE和PPP之间最优的初始干预仍在争论中.
研究的目的:
- 为了比较AE与PPP在血液动力学不稳定的急性骨盆骨折患者中的疗效.
- 评估医院内死亡率和输血要求的差异.
- 评估治疗时间和住院时间的变化.
主要方法:
- 根据PRISMA指南进行了一项元分析.
- 在相关患者群体中对AE和PPP进行比较的研究被系统审查.
- 分析了320名患者 (174名AE,146名PPP) 的数据.
主要成果:
- 在AE和PPP之间在住院死亡率上没有发现显著差异.
- 在这两项干预中,输血的血液单位数量没有显著差异.
- 与PPP相比,AE程序从诊断到治疗的平均时间更长 (44.6分钟).
结论:
- AE和PPP在死亡率,输血和住院时间方面表现出类似的结果.
- 虽然AE可能涉及更长的程序时间,但它似乎不会对患者的关键结果产生负面影响.
- 建议进一步进行高质量的比较研究,以巩固这些发现.
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