Sclafani S J, Becker J A
Urol Radiol. 1985;7(4):219-30. doi: 10.1007/BF02926889.
Interventional radiology is used most often in the management of the trauma patient to control hemorrhage and drain fluid collections. Transcatheter arterial embolization is an effective, expeditious, and safe technique for the nonoperative control of renal and other retroperitoneal bleeding, arteriovenous fistulas, and pseudoaneurysms. Transcatheter drainage of renal and other retroperitoneal collections of pus, urine, and blood is successful in more than 90% of trauma patients; such drainage should be attempted prior to any surgical intervention. Other procedures, such as antegrade nephrostomy, ureteral stenting and dilatation, angioplasty of traumatic renal artery stenosis, and suprapubic cystostomy, are infrequently indicated but provide alternatives to standard surgical intervention.
介入放射学在创伤患者的治疗中最常用于控制出血和引流液体积聚。经导管动脉栓塞术是一种有效、快速且安全的技术，用于非手术控制肾及其他腹膜后出血、动静脉瘘和假性动脉瘤。经导管引流肾及其他腹膜后积脓、尿液和血液在超过90%的创伤患者中取得成功；这种引流应在任何手术干预之前尝试。其他操作，如顺行肾造瘘术、输尿管支架置入和扩张、创伤性肾动脉狭窄的血管成形术以及耻骨上膀胱造瘘术，很少被采用，但为标准手术干预提供了替代方案。
