经导管肝动脉栓塞技术在创伤性肝破裂出血治疗中的价值

Value of Transcatheter Hepatic Arterial Embolization in the Treatment of Traumatic Hepatic Rupture

摘要: 目的：探讨经导管肝动脉栓塞技术在创伤性肝破裂出血治疗中的价值。方法：回顾性分析我院2012年4月至2015年4月收治的57例创伤性肝破裂出血患者，依据治疗方法将这些患者随机分为两组，即研究组(n = 28)和对照组(n = 29)。介入组患者为经导管肝动脉栓塞技术及腹腔引流术治疗，对两组患者的术中输血量、术后住院时间及并发症发生情况进行统计分析。结果：和开放手术组相比，介入组患者的术中输血量明显较少(P < 0.05)，术后住院时间明显较短(P < 0.05)，术后并发症发生率35.7%显著低于对照组58.6% (P < 0.05)。结论：经导管肝动脉栓塞技术在创伤性肝破裂出血治疗中具有较高的应用价值，值得在临床推广。

Abstract: Objective: To investigate the value of transcatheter hepatic arterial embolization in the treatment of traumatic hepatic rupture. Methods: 57 cases of patients with liver trauma bleeding who were treated in our hospital from April 2012 to April 2015 were selected. These patients were divided into two groups according to the treatment methods, namely the interventional therapy group (n = 28) and the open surgery group (n = 29). The interventional therapy group of patients were given transcatheter hepatic arterial embolization therapy and peritoneal drainage, and then the intraoperative blood transfusion, postoperative hospital stay and complications of the two groups of patients were analyzed statistically. Results: The intraoperative blood transfusion of the interventional therapy group of patients was significantly less than that of the open surgery group (P < 0.05). Postoperative hospital stay was significantly shorter (P < 0.05). The postoperative complication rate 35.7% was significantly lower than that of the open surgery group 58.6% (P < 0.05). Conclusion: Transcatheter hepatic arterial embolization is an effective and safe method in the treatment of traumatic hepatic rupture; so it is worthy of promotion in the clinical.