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):231-236. doi: 10.1016/j.ijsu.2016.02.057. Epub 2016 Feb 18.
Pelvic stabilization with angioembolization (AE) is steadily supplanting operative management for the treatment of pelvic hemorrhage in trauma. We aimed to provide a brief review of the indications, effectiveness and complications associated with AE for pelvic injuries.
We conducted a literature search using the terms "trauma," "angioembolization," and "pelvis" 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 articles published in the last 10 years related to pelvic AE for retroperitoneal hemorrhage after trauma.
Pelvic injuries often require complex management because the high energy transfer causes concomitant injuries. Outcomes for hemodynamically unstable patients may be better with AE than with operative management.
Pelvic AE is the most effective intervention for management of hemorrhage associated with pelvic fracture in both hemodynamically stable and unstable patients. It can be used as the primary definitive intervention or in conjunction with operative management in the setting of concomitant intra-abdominal injury.
血管栓塞术（AE）用于骨盆稳定在创伤性骨盆出血治疗中正在稳步取代手术治疗。我们旨在简要综述与AE治疗骨盆损伤相关的适应证、有效性及并发症。
我们使用“创伤”“血管栓塞术”和“骨盆”等术语进行文献检索，限于以英文发表的研究。对摘要和全文进行人工审核以确定合适的文章。
当前的简要综述基于过去10年发表的与创伤后腹膜后出血的骨盆AE相关文章的内容。
骨盆损伤常需复杂处理，因为高能量传递会导致合并伤。血流动力学不稳定患者接受AE治疗的结局可能优于手术治疗。
骨盆AE是血流动力学稳定和不稳定患者骨盆骨折相关出血管理的最有效干预措施。它可作为主要的确定性干预措施，或在合并腹部损伤时与手术治疗联合使用。
