论文部分内容阅读
目的探讨介入放射血管内治疗在创伤性大血管损伤、破裂出血时紧急情况下的应用价值。方法对２５例血管外伤病例选择性血管造影明确诊断后，１７例用气囊导管经血管腔内阻断患侧的血流后再行手术切除假性动脉瘤，血管再植术。８例在假性动脉瘤的远侧端肢体血供不受影响的情况下，用可脱球囊闭塞了载瘤动脉。结果全组均获得了满意的效果。结论介入放射学的应用，使无法手术切除地巨大假性动脉瘤及大血管破裂的患者找到了一个简单、易行、安全可靠的治疗措施。
Objective To investigate the value of interventional intravascular radiotherapy in the emergency of traumatic macrovascular injury and rupture of hemorrhage. Methods Selective angiography was performed in 25 cases of traumatic injury. Seventeen cases were treated with balloon catheter to block the blood flow in the affected side of the vessel, and then resection of pseudoaneurysm and replantation were performed. In 8 cases, the parent artery was occluded with a detachable balloon in the absence of blood supply to the distal limb of the pseudoaneurysm. Results All groups have obtained satisfactory results. Conclusion The application of interventional radiology found a simple, easy, safe and reliable treatment for patients with huge false aneurysm and large vessel rupture that could not be surgically removed.