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首页> 外文期刊>Journal of International Medical Research >Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study
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Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study

机译：中位数骶部栓塞治疗严重骨盆骨折的疗效：回顾性研究

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Objective Transcatheter arterial embolization (TAE) of bilateral internal iliac arteries (IIAs) in patients with a hemodynamically unstable pelvic fracture is associated with a low mortality rate. The persistence of unstable hemodynamics after IIA embolization indicates the involvement of other arteries, such as the median sacral artery (MSA). This study aimed to evaluate the efficacy of MSA embolization. Methods In this single-center, retrospective, observational study, medical records of patients who underwent MSA angiography or embolization for pelvic fractures (n?=?21) between January 2007 and August 2019 were reviewed. The percentage of patients achieving hemodynamic stabilization by MSA embolization was calculated. Results Fifteen patients underwent MSA embolization, and the remaining six underwent MSA angiography. The shock index value was significantly higher after MSA embolization than that before MSA embolization in hemodynamically unstable patients who underwent this procedure. The success rate of MSA selection was 100%. One patient presented with urinary retention because of bladder and rectal disorders after MSA embolization. The 30-day survival rate was 85.7%. Conclusions Severe pelvic fractures, such as a Dennis Zone III fracture and suicidal jumper’s fracture due to trauma from a fall, may require MSA embolization.
机译：血流动力学不稳定骨盆骨折患者双侧内部髂动脉（IIA）的物镜动脉栓塞（TAE）与低死亡率有关。 IIA栓塞后不稳定血液动力学的持续存在表明其他动脉（如中位骶部（MSA）的参与。本研究旨在评估MSA栓塞的功效。方法在本单中心，回顾性，观察研究中，审查了2007年1月至2019年1月至2019年1月至2019年骨盆骨折或脓疱疮骨折或栓塞（N？= 21）的患者的病历。计算了MSA栓塞实现血流动力学稳定的患者的百分比。结果十五名患者进行了MSA栓塞，剩下的六个患者的MSA血管造影。 MSA栓塞后震响指数值显着高于MSA栓塞在此程序的血流动力学不稳定患者中的栓塞前。 MSA选择的成功率为100％。由于MSA栓塞后的膀胱和直肠疾病，一名患者患有尿潴留。 30天的存活率为85.7％。结论严重的骨盆骨折，如秋季创伤引起的丹尼斯III骨折和自杀式跳线骨折，可能需要MSA栓塞。

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