治疗方法对功能在创伤患者治疗方法的影响
Serhat Yentur1, Ibrahim Ogulcan Canitez2, Adem Gokce2
1Bagcilar Research and Training Hospital, Urology Clinic, Turkiye Merkez Neighbourhood Dr. Sadık AHMET Street, Istanbul, Bagcilar, Istanbul, 34200, Türkiye. drserhatyentur@hotmail.com.
概括
血管栓塞可通过稳定病情和保持功能,显著改善严重损患者的治疗结果. 对于某些特定病例,非手术治疗得到越来越多的支持,尽管对于一些严重的伤害,手术仍然至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 脏损伤占所有创伤病例的5%,而重创伤是最常见的原因.
- 机动车碰撞,跌倒和行人车辆事故是导致型脏创伤的常见原因,通常伴随着胸部或腹部受伤.
- 透性损伤虽然不太常见,但通常是严重的,并且与涉及枪支或利物体的城市事故有关.
研究的目的:
- 评估不同治疗策略对脏创伤患者功能结果的影响.
- 评估血管栓塞在治疗严重损伤方面的有效性.
主要方法:
- 这是一项多中心的回顾性研究,涉及65名损伤患者.
- 分析临床数据,放射学和病理学报告,包括人口统计,创伤机制,伤害等级和输血要求.
- 使用DMSA光学扫描评估长期功能,并对血管栓塞对临床稳定性和功能影响的具体评估.
主要成果:
- 在67.7%的病例中,形创伤是主要原因.
- 10名患者的血管栓塞显著减少了输血需求,并改善了功能维护 (40%与没有的25%相比; p=0.009).
- 五级损伤表明功能显著下降,保守的管理与严重并发症的增加有关,包括5例尿瘤.
结论:
- 血管栓塞改善了严重损伤的结果,改善了临床稳定性,减少了输血需求,并与保守方法相比保留了功能.
- 虽然选择5级伤害需要手术干预,但对于适当选择的患者,非手术治疗越来越可行.
- 建议进行进一步的研究,以完善损伤的治疗指南,并加强决策协议.
相关概念视频
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