颈部血管创伤诊断及治疗  

Diagnosis and treatment of cervical vascular injuries

作　　者：郭伟[1] 刘杰[1] 

机构地区：[1]中国人民解放军总医院血管外科,北京100853

出　　处：《中国实用外科杂志》2014年第12期1133-1136,共4页Chinese Journal of Practical Surgery

摘　　要：经广泛查阅关于颈部血管创伤的国内外文献并对其进行总结分析发现,颈部血管钝性伤识别率有所上升,对于颈部血管创伤的诊断需要结合临床表现和影像学特征,药物治疗需要更多循证医学证据支持,对于II区损伤外科手术仍为重要手段,腔内治疗逐渐发展为重要的治疗选择。颈部血管创伤需要临床医生予以重视,腔内治疗颈部血管创伤得到了快速发展,但仍需要更多的相关研究证实各种疗法的有效性和安全性。The recent literature concerning the epidemiology, diagnosis and treatment of cervical vascular injuries was extensively reviewed, and the research and development were summarized. A heightened awareness of blunt vascular injury had emerged. The diagnosis of cervical vascular injuries requires a combination of clinical and imaging features. Drug therapy requires more evidence-based medical support. In zone II situations favored open exploration over endovascular techniques in emergent situations, the endovascular therapy had become an important choice. Surgeons should pay more attention to the cervical vascular trauma. Endovascular therapy gets rapid development. But more researches on various therapies are needed to confirm their efficacy and safety.

关 键 词：颈部 血管创伤 临床流行病学 腔内治疗 

分 类 号：R6[医药卫生—外科学]