Richardson J D, Vitale G C, Flint L M
Arch Surg. 1987 Jun;122(6):678-83. doi: 10.1001/archsurg.1987.01400180060011.
From 1976 to 1981, 677 patients with potential vascular injuries from penetrating wounds to the upper and lower extremities and the neck were treated. Surgical exploration was used to evaluate 237 patients; 440 patients were evaluated by arteriography alone, with negative results. In the group that underwent surgery, there were 137 arterial injuries detected. Follow-up studies were performed to assess the rate of missed vascular injuries using each diagnostic modality. Short-term follow-up was obtained in 81% of all patients. Long-term follow-up, averaging 5.1 years, was obtained in 33% of the patients. Vascular injuries, which went undetected at the time of initial evaluation, were present in both the group evaluated by vascular exploration and the arteriography group. The combination of arteriography and exploration detected no missed injuries on follow-up.
1976年至1981年期间，对677例因上肢、下肢及颈部穿透伤而存在潜在血管损伤的患者进行了治疗。对237例患者进行了手术探查；440例患者仅接受了动脉造影评估，结果为阴性。在接受手术的组中，检测到137例动脉损伤。进行了随访研究，以评估每种诊断方式漏诊血管损伤的发生率。81%的患者获得了短期随访。33%的患者获得了平均5.1年的长期随访。在血管探查评估组和动脉造影组中，均存在初始评估时未被发现的血管损伤。动脉造影和探查相结合在随访中未发现漏诊损伤。
