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首页> 外文期刊>Injury >Extremities--indications and techniques for treatment of extremity vascular injuries.
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Extremities--indications and techniques for treatment of extremity vascular injuries.

机译：四肢-治疗四肢血管损伤的适应症和技术。

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摘要

Traumatic vascular injuries involving the extremity are rare and penetrating trauma accounts for the majority of such injuries. The remaining arterial injuries are as a result of either blunt or iatrogenic injuries. The rapid detection, localisation and characterisation of vascular injuries in patients who have a traumatic extremity injury is essential for the effective management and treatment of such injuries. This review will discuss the expanding role of multi-detector computed tomography angiography in diagnosing vascular injuries and its implications on conventional diagnostic angiography. The roles of other non-invasive imaging modalities are reviewed. The presentation and types of vascular injuries in blunt and penetrating injuries are discussed. While surgery remains the gold standard in the management of vascular extremity injuries it has significant morbidity rates. Endovascular techniques are increasingly being used for the treatment of vascular traumatic injuries and various techniques including balloon occlusion, embolisation and stent/stent graft placement are discussed.
机译：涉及肢体的创伤性血管损伤很少见，穿透性创伤占此类损伤的大部分。其余的动脉损伤是钝性或医源性损伤的结果。对具有肢体外伤的患者进行血管损伤的快速检测，定位和表征对于有效管理和治疗此类损伤至关重要。这项审查将讨论多探测器计算机断层扫描血管造影在诊断血管损伤中的扩展作用及其对常规诊断性血管造影的意义。审查了其他非侵入性成像方式的作用。讨论了钝性和穿透性损伤中血管损伤的表现和类型。尽管外科手术仍然是处理血管末端损伤的金标准，但其发病率很高。血管内技术正越来越多地用于治疗血管外伤，并讨论了包括球囊闭塞，栓塞和支架/支架植入物放置在内的各种技术。

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