与创伤性损伤相比,创伤性骨破裂的管理和结果的差异在的腹部创伤后的创伤性损伤
Katharina Rippel1, Hannes Ruhnke2, Betram Jehs1
1Diagnostic and Interventional Radiology, University Hospital Augsburg, Faculty of Medicine, University of Augsburg, Stenglinstr. 2, 86156 Augsburg, Germany.
Journal of clinical medicine
|December 17, 2024
概括
创伤性脊髓撕裂的伤害程度更高,治疗成功率低于创伤性裂. 考虑早期的脏动脉栓塞或中度无创伤伤的手术.
科学领域:
- 创伤外科 手术 创伤外科
- 腹部成像 腹部成像 腹部成像
- 紧急医疗 紧急医疗
背景情况:
- 骨破伤是由于创伤或非创伤原因造成的.
- 根据病因,治疗和结果可能会有所不同.
- 最佳的管理策略需要进一步的研究.
研究的目的:
- 为了比较创伤性与非创伤性裂的治疗策略和治疗结果.
- 确定影响治疗成功和死亡率的预后因素.
主要方法:
- 通过CT扫描确认的291名脊髓撕裂患者的回顾性分析 (01/2010-03/2023).
- 排除缺乏数据或过早死亡的患者.
- 评估病因,人口统计,临床参数和美国创伤外科协会 (AAST) 评分.
主要成果:
- 创伤性骨撕裂 (50/291) 显示中度/高度损伤的发病率较高 (90%与58%相比).
- 在非创伤病例中,保守治疗的成功率较低 (75% vs 94.5%),手术转换率较高 (10% vs 1%).
- 动脉栓塞 (SAE) 在非创伤性损伤中取得的成功率较低 (87%对97%),但较少的AAST 3级损伤需要初级SAE.
结论:
- 创伤性脏损伤需要与创伤性脏损伤不同的管理.
- 建议早期考虑SAE或中度无创性脏损伤的手术.
- 跨学科评估和个案管理至关重要,因为预计伴随疾病的死亡率更高.
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