数字减影血管造影下血管介入栓塞治疗骨盆骨折大出血的临床效果分析  

Clinical Effect Analysis of DSA Vascular Interventional Embolization in the Treatment of Massive Hemorrhage of Pelvic Fracture

作　　者：孟祥宇 MENG Xiang-yu(Department of Radiology,Tianjin Xiqing Hospital,Tianjin 300380)

机构地区：[1]天津市西青医院放射科,天津300380

出　　处：《中国医疗器械信息》2022年第13期127-129,共3页China Medical Device Information

摘　　要：目的:对数字减影血管造影下血管介入栓塞治疗骨盆骨折大出血的临床效果展开探讨。方法:选取2016年2月~2021年2月于天津市西青医院放射科进行诊治的42例骨盆骨折大出血手术患者作为研究对象,以数字随机法分为观察组和对照组,每组各21例;对照组给予常规外科治疗,观察组采用数字减影血管造影下血管介入栓塞治疗,比较两组的治疗效果。结果:经治疗后,观察组的休克发生率为14.29%,低于对照组的52.38%(P<0.05);观察组的止血成功率为95.24%,高于对照组的61.90%(P<0.05);观察组的平均输液量为(3344.19±663.54)mL,少于对照组的(4916.62±789.46)mL(P<0.05);观察组的平均输血量为(1445.62±361.75)mL,少于对照组的(2882.81±501.48)mL(P<0.05);观察组的治疗结果优于对照组(P>0.05)。结论:数字减影血管造影下血管介入栓塞治疗骨盆骨折大出血的临床效果显著,能够有效纠正患者的失血性休克和降低病死率,同时减少输血量。Objective:To investigate the clinical effect of vascular embolization in the treatment of pelvic fracture hemorrhage under digital subtraction angiography.Methods:42 patients with pelvic fracture and massive hemorrhage who were admitted to the Radiology Department of Tianjin Xiqing Hospital from February 2016 to February 2021 were selected as the research objects.They were randomly divided into observation group and control group by numerical method,with 21 patients in each group.The control group was treated with conventional surgical treatment,and the observation group was treated with interventional embolization under digital subtraction angiography.The therapeutic effects of the two groups were compared.Results:After treatment,the incidence of shock in the observation group was 14.29%,lower than 52.38%in the control group(P<0.05).The success rate of hemostasis in observation group was 95.24%,which was higher than that in control group(61.90%)(P<0.05).The average infusion volume of the observation group was(3344.19±663.54)mL,which was lower than that of the control group(4916.62±789.46)mL(P<0.05).The average amount of blood transfusion in the observation group was(1445.62±361.75)mL,which was less than that in the control group(2882.81±501.48)mL(P<0.05).The treatment result of observation group was better than control group(P>0.05)Conclusion:Digital subtraction angiography has a significant clinical effect on the treatment of pelvic fracture hemorrhage by interventional embolization,which can effectively correct hemorrhagic shock and reduce mortality,and reduce the amount of blood transfusion.

关 键 词：数字减影血管造影 骨盆骨折 大出血 血管介入栓塞术 

分 类 号：TH774[机械工程—仪器科学与技术]