急诊血管介入栓塞治疗创伤性血流动力学不稳定型骨盆骨折效果分析

doi:10.3969/j.issn.2095-378X.2024.02.015

Abstract

Abstract: Objective To analyze the effect of emergency interventional vascular embolization in the treatment of hemodynamically unstable pelvic fractures. Methods A total of 124 patients with traumatic pelvic fractures and hemodynamic instability were enrolled in the study. There were 59 males and 65 females, with an average age of （33.5±2.8） years. Causes of injury： 76 cases of traffic accidents, 27 cases of falling from heights, and 21 other cases. According to different treatment methods, the patients were divided into a control group（n=61） using traditional conservative treatment and an observation group （n=63） using interventional vascular embolization. The hemodynamic indicators of the two groups of patients before and after surgery were compared. The operation time, intraoperative blood loss, hospitalization days, and complications were compared between the two groups. The Majeed pelvic fracture function score and the European quality of life-5 dimensions scale （EQ-5D） were used to evaluate the surgical efficacy and quality of life of the patients 3 months after surgery. Results There was no significant difference in general information between the two groups. The postoperative heart rate and blood lactate of the observation group decreased more significantly than those of the control group （P<0.001）; the postoperative systolic blood pressure and central venous pressure of the observation group were significantly increased compared with the control group（P<0.001）. At the follow-up one year after operation, the Majeed score and EQ-5D index of the control group and the observation group were significantly better than those before operation （P<0.05）. The Majeed score and the EQ-5D index of the observation group were significantly lower than those of the control group （P<0.001）. Conclusion Emergency vascular interventional embolization has a good effect on patients with traumatic hemodynamically unstable pelvic fractures, which provides good conditions for clinical rescue and treatment.

Key words: Interventional embolization, Hemodynamics, Pelvis, Fracture

CLC Number:

R459.7

HUANG Guoliang, LI Jiangping, MAO Po, CAI Qinse, LI Hualiang, LIN Jinshi. Effect of emergency vascular interventional embolization in treatment of traumatic hemodynamically unstable pelvic fractures[J]. Surgical Research and New Technique, 2024, 13(2): 120-124.

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Effect of emergency vascular interventional embolization in treatment of traumatic hemodynamically unstable pelvic fractures

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