DSA技术指导下的介入动脉栓塞治疗在骨盆骨折大出血患者中的应用价值研究  

Application Value of Interventional Arterial Embolization Therapy Guided by Dsa Technology in Patients with Pelvic Fracture and Massive Bleeding

作　　者：庄泽铎 郑杨新 ZHUANG Zeduo;ZHENG Yangxin(Guangzhou Development Zone Hospital,Guangzhou,Guangdong 510000)

机构地区：[1]广州开发区医院,广东广州510730

出　　处：《智慧健康》2025年第5期19-21,26,共4页Smart Healthcare

摘　　要：目的 探讨DSA技术指导下的介入动脉栓塞治疗在骨盆骨折大出血患者中的应用价值研究。方法 选取2021年4月—2024年6月本院收治的64例骨盆骨折大出血患者,入组后依据随机数字表法将所有患者分为对照组(n=32)、观察组(n=32)。其中,对照组接受常规外科治疗,观察组接受DSA技术指导下的介入动脉栓塞治疗。对比两组患者术前与术后血流动力学参数(包括心率、收缩压、舒张压)以及疗效指标(包括输血量、输液量、休克纠正时间)和止血成功率。结果 观察组术后心率比对照组低,收缩压与舒张压比对照组高(P<0.05);观察组输血量、输液量比对照组少,休克纠正时间比对照组短(P<0.05);观察组止血成功率高于对照组(P<0.05)。结论 骨盆骨折大出血患者应用DSA技术指导下的介入动脉栓塞治疗可保证血流动力学处于稳定状态,及时控制休克,促进术后骨盆功能恢复,提高生活质量及止血成功率,疗效显著,整体方案可行。Objective To explore the application value of interventional arterial embolization treatment guided by DSA technology in patients with pelvic fracture and massive bleeding.Methods A total of 64 patients with pelvic fracture and massive bleeding were selected for this study,with a selection period from April 2021 to June 2024.After enrollment,all patients were divided into a control group (n=32) and an observation group (n=32) (according to the random number table method).The control group received routine surgical treatment,while the observation group received interventional arterial embolization treatment guided by DSA technology.Compare the hemodynamic parameters including heart rate,systolic blood pressure,diastolic blood pressure,efficacy indicators including transfusion volume,infusion volume,shock correction time,and hemostasis success rate between two groups of patients before and after surgery.Results The postoperative heart rate of the observation group was lower than that of the control group,and the systolic and diastolic blood pressure were higher than those of the control group (P<0.05);The observation group had less blood transfusion and infusion volume compared to the control group,and the shock correction time was shorter than that of the control group (P<0.05);The success rate of hemostasis in the observation group was 93.75% (30/32),which was higher than that in the control group (71.88%,23/32) (χ~2=5.379,P<0.05).Conclusion Interventional arterial embolization therapy guided by DSA technology can ensure stable hemodynamics,timely control shock,promote postoperative pelvic function recovery,improve quality of life and hemostasis success rate in patients with pelvic fracture and massive bleeding.The therapeutic effect is significant and the overall plan is feasible.

关 键 词：骨盆骨折 大出血 介入动脉栓塞 数字减影血管造影 止血情况 

分 类 号：R683.3[医药卫生—骨科学]