Department of Vascular Intervention, Yuyao People's Hospital, Zhejiang Province, China.
J Int Med Res. 2023 Oct;51(10):3000605231208601. doi: 10.1177/03000605231208601.
To retrospectively analyze the clinical data and treatment procedures of angiographic embolization (AE) and extraperitoneal pelvic packing (EPP) for traumatic pelvic fractures in our center for the purpose of providing recommendations on the selection of treatment protocols.
We analyzed 110 patients with traumatic pelvic fractures treated with AE and EPP from January 2015 to May 2023. The patients were divided into the AE group (69 men, 41 women) and the EPP group (20 men, 12 women). The primary outcomes were the mortality rate and incidence of complications.
The mortality rate was slightly lower in the AE than EPP group (7.3% vs. 9.4%). The overall blood transfusion volume was lower and the length of hospital stay was shorter in the AE than EPP group (7.79 ± 12.04 vs. 9.14 ± 14.21 units and 20.48 ± 11.32 vs. 22.14 ± 10.47 days).
Both AE and EPP have good treatment effects. AE is preferred for patients in stable condition with severe hemorrhage. This study suggests that EPP should be the primary treatment and that AE should serve as a complementary treatment for critical patients.
回顾性分析本中心创伤性骨盆骨折患者行血管造影栓塞（AE）和腹膜外盆腔填塞（EPP）的临床资料和治疗过程，旨在为治疗方案的选择提供建议。
我们分析了 2015 年 1 月至 2023 年 5 月期间采用 AE 和 EPP 治疗的 110 例创伤性骨盆骨折患者。患者分为 AE 组（69 名男性，41 名女性）和 EPP 组（20 名男性，12 名女性）。主要结局是死亡率和并发症发生率。
AE 组的死亡率略低于 EPP 组（7.3%比 9.4%）。AE 组的总输血量和住院时间均低于 EPP 组（7.79±12.04 单位比 9.14±14.21 单位和 20.48±11.32 天比 22.14±10.47 天）。
AE 和 EPP 均有良好的治疗效果。AE 适用于有严重出血但病情稳定的患者。本研究提示 EPP 应作为主要治疗方法，AE 应作为危急患者的补充治疗方法。
