Salcedo Edgardo S, Brown Ian E, Corwin Michael T, Galante Joseph M
University of California, Davis School of Medicine, Department of Surgery, Division of Trauma, Acute Care Surgery and Surgical Critical Care, 2315 Stockton Blvd, Room 4206, Sacramento, CA 95817, USA.
University of California, Davis School of Medicine, Department of Radiology, 4860 Y Street, ACC Suite 3100, Sacramento, CA 95817, USA.
Int J Surg. 2016 Sep;33(Pt B):225-230. doi: 10.1016/j.ijsu.2015.10.030. Epub 2015 Oct 30.
Non-operative management is the standard of care for blunt solid organ injuries in stable patients. Angioembolization is an important technique that improves success rates of non-operative management. We aimed to provide a brief review of the indications, effectiveness and complications associated with angioembolization for solid organ injuries.
We conducted a literature search of the PubMed database using the terms "trauma", "angioembolization", and "solid organ embolization" limited to studies published in the English language. Abstracts and full text were manually reviewed to identify suitable articles.
The current brief review is based on content from the more recently published articles related to angioembolization for solid organ injuries after trauma.
Angioembolization is appropriate for hemodynamically stable patients with contrast extravasation on CT scan or high-grade injury to a solid organ. Non-operative management success rates have improved with the adoption of angioembolization. The complications associated with angioembolization are acceptable in the context of avoiding a laparotomy, and are often related to the severity of the injury.
Angioembolization is a natural extension of the move towards non-operative management for solid organ injuries. Randomized controlled trials are required to fully characterize the indications and efficacy of its use.
对于病情稳定的钝性实性器官损伤患者，非手术治疗是标准的治疗方法。血管栓塞术是一种可提高非手术治疗成功率的重要技术。我们旨在简要综述与实性器官损伤血管栓塞术相关的适应证、有效性及并发症。
我们在PubMed数据库中进行文献检索，使用 “创伤”“血管栓塞术” 和 “实性器官栓塞术” 等检索词，检索范围限定为英文发表的研究。通过人工查阅摘要和全文来确定合适的文章。
本次简要综述基于近期发表的有关创伤后实性器官损伤血管栓塞术的文章内容。
血管栓塞术适用于CT扫描显示有造影剂外渗或实性器官重度损伤的血流动力学稳定的患者。采用血管栓塞术后，非手术治疗的成功率有所提高。在避免剖腹手术的情况下，血管栓塞术相关的并发症是可以接受的，且通常与损伤的严重程度有关。
血管栓塞术是实性器官损伤非手术治疗发展的自然延伸。需要进行随机对照试验来全面明确其使用的适应证和疗效。
