DSA技术指导下血管介入栓塞治疗骨盆骨折大出血的有效性观察  

Observation on the Effectiveness of DSA Guided Interventional Embolization in the Treatment of Massive Hemorrhage from Pelvic Fracture

作　　者：闫辉[1] 赵仲喻[1] 王军楠 YAN Hui;ZHAO Zhong-yu;WANG Jun-nan(Radiological Intervention Department of Rongcheng People’s Hospital of Shandong Province,Shandong Weihai 264300)

机构地区：[1]山东省荣成市人民医院放射介入科,山东威海264300

出　　处：《中国医疗器械信息》2024年第2期1-3,共3页China Medical Device Information

摘　　要：目的:观察数字减影血管造影(DSA)技术指导下血管介入栓塞治疗骨盆骨折大出血的有效性。方法:选择2021年7月~2022年7月骨盆骨折大出血患者80例,采用数字随机法对等分为两组,对照组40例行常规外科方案开展治疗,观察组40例于DSA技术引导下开展血管介入栓塞治疗,以患者休克、止血情况、输液量、输血量、并发症情况以及死亡率作为观察指标,对比组间治疗结果。结果:治疗后,与对照组的37.50%相比,观察组休克发生率10.00%显著更低(P<0.05);观察组止血成功率97.50%相较于对照组的77.50%明显更高(P<0.05);与对照组相比,观察组输液量、输血量均呈现出更低水平(P<0.05);观察组并发症发生率5.00%、死亡率2.50%与对照组的10.00%、7.50%比较均略低,但差异无统计学意义(P>0.05)。结论:骨盆骨折大出血患者于DSA指导下接受血管介入栓塞可有效提升止血成功效率,及时实现失血性休克纠正目标,减少输血量与并发症,降低患者疾病死亡率。Objective:To observe the effectiveness of interventional embolization under the guidance of DSA(digital subtraction angiography)in the treatment of massive hemorrhage from pelvic fracture.Methods:The case samples were selected from July 2021 to July 2022.A total of 80 patients with massive hemorrhage from pelvic fracture were enrolled before and after.They were equally divided into two groups by digital random method.The control group(n=40)was treated with conventional surgical scheme.The observation group(n=40)was treated with vascular interventional embolization under the guidance of DSA technology.The observation indicators were patients’shock,hemostasis,infusion volume,blood transfusion volume,complications and mortality,the treatment results were compared between groups.Results:After treatment,the incidence of shock in the observation group was significantly lower than that in the control group(37.50%)(10.00%,P<0.05);The success rate of hemostasis of 97.50%in the observation group was significantly higher than that of 77.50%in the control group(P<0.05);Compared with the control group,the amount of infusion and blood transfusion in the observation group showed a lower level(P<0.05);The complication rate of 5.00%and mortality rate of 2.50%in the observation group were slightly lower than those of 10.00%and 7.50%in the control group,but the difference was not statistically significant(P>0.05).Conclusion:Vascular interventional embolization under the guidance of DSA for patients with massive hemorrhage from pelvic fracture can effectively improve the success rate of hemostasis,timely achieve the goal of correction of hemorrhagic shock,reduce the amount of blood transfusion and complications,and reduce the mortality of patients.

关 键 词：DSA技术 血管 介入栓塞 骨盆骨折大出血 有效性 

分 类 号：R683.3[医药卫生—骨科学]