血管造影及栓塞术在创伤性腹膜后血肿中的应用  

Progress in diagnosis and treatment of traumatic retroperitoneal hematoma by angiography and embolization

作　　者：易成腊[1] 罗杨兴 Cheng-la;LUO Yang-xing(Depamnent of Traumatic Surgery,Affiliated Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院创伤外科,武汉430030

出　　处：《创伤外科杂志》2018年第7期481-484,共4页Journal of Traumatic Surgery

摘　　要：腹膜后血肿因其解剖特点和症状不典型,具有确诊率低、治疗困难、病死率高等特点,腹膜后血肿的治疗方法主要有非手术治疗和开腹手术。非手术治疗观察时间长,不确定因素多,中途转开腹也比较常见,而开腹手术存在止血困难、易感染、创伤较大等棘手问题。近年来随着血管造影及介入栓塞技术快速发展,对于出血严重的腹膜后血肿,可以通过血管造影及介入栓塞技术明确出血源、出血速度,同时给予相应栓塞治疗,较传统手术方式有创伤小、效率高、风险低的特点,为患者赢得了时间,降低了病死率。Due to anatomical features and symptoms are not typical,retroperitoneal hematoma exhibits low diagnostic rate,difficulty in treatment,and high mortality rate. Treatments of retroperitoneal hematoma can be divided into conservative treatment and laparotomy. Conservative treatment spends long time to observe and includes many uncertainties. It is also common to switch to laparotomy on the way. However,there are still intractable problems for the laparotomy,such as difficult hemostasis,easy to infection,and heavy injury. In recent years,with the rapid development of angiography and interventional embolization techniques,serious bleeding retroperitoneal hematoma can be determined the source and speed of bleeding and given appropriate treatment simultaneously. Compared with traditional surgical methods,these techniques have the characteristics of less trauma,high efficiency,low risk,and more time to salvage patients,which reduce mortality effectively.

关 键 词：创伤 腹膜后血肿 血管造影 介入栓塞 

分 类 号：R64[医药卫生—外科学] R656[医药卫生—临床医学]