Department of Surgery, 7712University of Connecticut, CT, USA.
Am Surg. 2021 Nov;87(11):1793-1801. doi: 10.1177/0003134820973729. Epub 2020 Dec 21.
The liver is one of the most commonly injured solid organs in blunt abdominal trauma. Non-operative management is considered to be the gold standard for the care of most blunt liver injuries. Angioembolization has emerged as an important adjunct that is vital to the success of the non-operative management strategy for blunt hepatic injuries. This procedure, however, is fraught with some possible serious complications. The success, as well as rate of complications of this procedure, is determined by degree and type of injury, hepatic anatomy and physiology, and embolization strategy among other factors. In this review, we discuss these important considerations to help shed further light on the contribution and impact of angioembolization with regards to complex hepatic injuries.
肝脏是钝性腹部创伤中最常受伤的实体器官之一。非手术治疗被认为是大多数钝性肝损伤的治疗金标准。血管栓塞术已成为非手术治疗策略成功的重要辅助手段，对钝性肝损伤至关重要。然而，该手术存在一些可能严重的并发症。该手术的成功率及其并发症的发生率取决于损伤程度和类型、肝解剖和生理学以及栓塞策略等因素。在这篇综述中，我们讨论了这些重要的考虑因素，以帮助进一步了解血管栓塞术在复杂肝损伤方面的作用和影响。
