血管损伤的介入性处理

INTERVENTIONAL MANAGEMENT OF VASCULAR TRAUMA

用介入放射学方法处理颈、胸、腹、上肢和股盆部血管损伤20例。经Digitalsubjectivean-giography（DSA）检查，9例行介入血管栓塞术。结果表明DSA能明确血管损伤部位、状况和程度，对决定治疗有指导价值。对某些部位血管损伤，尤其肝内、股盆部栓塞效果好。提示：介入放射学处理血管损伤效果明显，是一种有价值的方法。

Twenty patients with cervical, thoracic, abdominal, limb, thigh and pelvic hemorrhage were managed by interventional radiological procedures. All patients received angiography, 9cases were followed by transcatheter embolization.The results showed that DSA not only could demonstrate the precise site, status and extent of the injured artery but also was valuable for whether surgical or conservative management should be taken.Patients who received angiography were followed by transcatheter embolization or operative or medicinal management, they recovered rapidly. On the other hand, some without initial angiography but underrhage. Interventional embolization was the preferable method of choice for some suitable cases especially for the injuried arterise of hepatic, thigh and pelvic areas. These suggest that interventional rediology is effective in managing vascular trauma.