动脉造影在创伤性血管损伤中的应用(附32例分析)

Application of arteriography in traumatic vascular injury (a report of 32 cases)

目的 评价动脉造影在创伤性血管损伤中的诊断价值。方法 对 32例怀疑有血管损伤的患者进行选择性动脉造影。损伤的原因包括钝挫伤、枪伤、刀刺伤、撕脱伤等。结果 血管造影1例阴性 ,其他 31例共 46条血管均有不同程度的损伤。阳性率为 96 .9%。血管造影的表现为动脉闭塞 16条血管、动脉腔内缺损 3条、对比剂外渗 6条、动脉狭窄 5条、局部管腔扩张 2条、动静脉瘘1条、动脉偏离 3条、动脉血流速减低 9条、局部动脉缺损处包块染色 1条。结论 对怀疑有创伤性血管损伤的患者而言 ,选择性动脉血管造影是一种安全。

Objective To evaluate arteriography in traumatic vascular injury. Methods Selective arteriography was performed in 32 patients with trauma and suspected to be vascular injury. The causes of injury included blunt injury, shot gun injury, and knife injury, degloving injury etc. Results Arteriographies in all patients except 1 had positive findings, and the positive rate was 96.9%. Fourty six arteries showed various degrees of vascular injury in the other 31 patients. The angiographic appearances included arterial occlusion(16 vessels), extravasation of contrast (6 vessels), intraluminal defects(3 vessels), arteriovenous fistula (1 vessel), arterial narrowing (5 vessels), and slow arterial flow (9 vessels), etc. Conclusion Selective arteriography is safe and effective to detect traumatic vascular injury.