Franco Derek F, Zangan Steven M
Department of Radiology, University of Chicago Medicine, Chicago, Illinois.
Semin Intervent Radiol. 2020 Mar;37(1):44-54. doi: 10.1055/s-0039-3401839. Epub 2020 Mar 4.
Traumatic pelvic injuries are associated with high injury severity scores and significant morbidity and mortality. As fractures and ligamentous disruption result in increased pelvic volume, retroperitoneal hemorrhage can spiral and progress to hemorrhagic shock. Due to the extensive collateral supply and limitations of surgery for pelvic hematomas, angiographic treatment is at the forefront of pelvic trauma management. This article will discuss typical injuries seen in pelvic trauma, treatment modalities available to the interventional radiologist, and common angiographic treatment strategies and techniques.
创伤性骨盆损伤与高损伤严重度评分以及显著的发病率和死亡率相关。由于骨折和韧带断裂导致骨盆容积增加，腹膜后出血会不断加剧并发展为失血性休克。鉴于骨盆血肿的侧支供血丰富且手术存在局限性，血管造影治疗处于骨盆创伤管理的前沿。本文将讨论骨盆创伤中常见的损伤、介入放射科医生可采用的治疗方式以及常见的血管造影治疗策略和技术。
