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目的探索腹部实质性脏器和血管损伤有效的诊断和非手术治疗方法。方法对 5 0例腹部实质性脏器和血管损伤进行选择性动脉造影和栓塞治疗。结果 5 0例接受选择性动脉造影 ,除 1例肝损伤合并下腔静脉损伤外 ,余均获得确诊 ,诊断率 98.0 %。 49例接受动脉栓塞治疗 ,46例治愈。3例中转手术病例经病理检查证实损伤动脉已栓塞。结论选择性动脉造影对腹部实质性脏器和血管损伤有显著的诊断意义。对除肠系膜血管以外的脏器损伤 ,动脉栓塞应列为首选的治疗方法。
Objective To explore the effective diagnostic and non-surgical treatment of parenchymal organ and vascular injury. Methods Selective arteriography and embolization were performed on 50 cases of abdominal visceral and vascular injuries. Results Fifty cases underwent selective angiography, except for one case of hepatic injury complicated with inferior vena cava injury. All the cases were confirmed with a diagnostic rate of 98.0%. 49 cases received arterial embolization, 46 cases were cured. 3 cases of transit surgery confirmed by pathological examination of the damaged artery has embolism. Conclusion Selective arterial angiography has significant diagnostic significance on the abdominal viscera and vascular injury. On the other than the mesenteric vessels outside the organ damage, arterial embolism should be listed as the preferred method of treatment.