CTA在急诊骨盆骨折出血中对血管栓塞治疗的指导价值  

The guiding value of CTA in the treatment of vascular embolization in emergency pelvic fracture hemorrhage

作　　者：吴方烨 徐宏伟[1] 曾晖[2] 邵国良[2] WU Fangye;XU Hongwei;ZENG Hui;SHAO Guoliang(Department of Radiology,General Hospital Medical Communities of Shaoxing Second Hospital,Shaoxing 312000,Zhejiang,China;Department of Interventional Treatment,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China)

机构地区：[1]绍兴第二医院医共体总院放射科,浙江绍兴312000 [2]浙江省肿瘤医院介入治疗科,浙江杭州310022

出　　处：《中国现代医生》2024年第22期46-49,共4页China Modern Doctor

摘　　要：目的探讨骨盆CT血管造影(computed tomography angiography,CTA)在急诊骨盆骨折出血中对患者行血管栓塞治疗的指导价值。方法选取2019年6月至2023年6月于绍兴第二医院医共体总院治疗的67例急诊骨盆骨折出血患者,所有患者均行CTA和数字减影血管造影(digital subtraction angiography,DSA)检查,以DSA检查结果为金标准评价CTA的应用价值。结果CTA检查发现66例患者血管损伤,出血或损伤血管167支;DSA检查发现66例患者血管损伤,出血或损伤血管186支。CTA对阳性病例的检出率为97.0%,对血管损伤的检出率为82.8%。CTA检查血管损伤的阳性预测值为92.2%,阴性预测值为97.1%,敏感度为82.8%,特异性为98.8%。结论CTA检查对急诊骨盆骨折出血的诊断结果与DSA高度一致,可为患者治疗方案的制定提供重要参考依据。Objective To investigate the guiding value of computed tomography angiography(CTA)in the treatment of vascular embolization in patients with emergency pelvic fracture hemorrhage.Methods From June 2019 to June 2023,67 patients with emergency pelvic fracture hemorrhage were selected from General Hospital Medical Communities of Shaoxing Second Hospital.All patients underwent CTA and digital subtraction angiography(DSA),and the application value of CTA was evaluated using the results of DSA as the gold standard.Results CTA examination showed that 66 patients had vascular injury,bleeding or injury of 167 vessels.DSA examination showed that 66 patients had vascular injury,bleeding or injury of 186 vessels.The detection rate of CTA for positive cases was 97.0%,and the detection rate for vascular injury was 82.8%.The positive predictive value of CTA was 92.2%,the negative predictive value was 97.1%,the sensitivity was 82.8%,and the specificity was 98.8%.Conclusion The diagnostic results of CTA examination for emergency pelvic fracture hemorrhage are highly consistent with DSA,which can provide an important reference for the formulation of treatment plans for patients.

关 键 词：骨盆骨折 CT血管造影 数字减影血管造影 血管栓塞 

分 类 号：R814.42[医药卫生—影像医学与核医学] R683.3[医药卫生—放射医学]