血管创伤的开放和介入治疗选择  

Open and Intervention Treatment Options For Vascular Trauma

作　　者：何天敏[1] 

机构地区：[1]福建医科大学附属第一医院血管外科,福建福州350004

出　　处：《内蒙古医学杂志》2014年第11期1298-1300,共3页Inner Mongolia Medical Journal

摘　　要：目的:探究并比较开放疗法和介入治疗对血管创伤的临床疗效。方法选取2013年1月至2014年1月我院收治的血管创伤患者46例,按照随机原则将其分为观察组和对照组各23例,对照组患者给予开放治疗,观察组患者则采取介入治疗方式,比较两组患者的手术时间、输血量、一次止血成功率、并发症率及复发率。结果经上述治疗后,观察组患者的手术时间为(52.37±4.03)min,输血量(286.06±39.66)ml,均明显低于对照组患者的(65.26±6.14)min和(378.45±43.91)ml;组间比较结果显示,观察组患者在并发症率及复发率方面均有较低水平;且观察组的一次止血成功率为91.3%,远高于对照组患者的69.6%。上述五项指标的组间差异均有统计学意义(P<0.05)。结论介入治疗对于血管创伤有更优疗效,相较于开放疗法能够更有效地改善患者的治疗效果,提高治疗安全性及预后质量,临床上可将其作为首选疗法。Objective To explore and compare the clinical curative effect of the open therapy and interven- tlonal therapy for vascular trauma. Methods Selected 46 cases of vascular trauma patients of our hospital from January 2013 to January 2014. It can be divided into observation group and control group in accordance with the principle of random, 23 cases respectively. Control group patients is with open treatment, observation group of patients is with interventional treatment, . Compare operation time, blood transfusion amount, hemostatic success rate, complication rate and recurrence rate of the two groups of patients. Results After the above treatment, the surgical time is （52.37 ±4.03） rain, blood transfusion amount（286.06 ±39.66）ml, of observation group patients, Which is significantly lower than the control group patients（65.26 ± 6.14） rain and（378.45 ± 43.91）ml; According to the results between the two groups, the rate of complication and recurrence rate is low in the observation group of patients. Success rate of hemostatic in observation group was 91.3%, far higher than 69.6 % of the control group patients. The differences of five indexes above between the two groups were statistically significant（P 〈 0.05）. Conclusion Interventional treatment for vascular trauma has better curative effect, can more effectively improve the treatment effect safety of treatment and quality of prognosis, which can of patients Compared with open therapy, improving the be as the preferred therapy in clinical.

关 键 词：血管创伤 开放疗法 介入治疗 

分 类 号：R654.3[医药卫生—外科学]