Treatment of pelvic fracture and hemorrhagic shock by emergency interventional arterial embolization combined with percutaneous minimally invasive screw internal fixation: Report of 21 cases
10.13929/j.1672-8475.201706013
- VernacularTitle:急诊介入动脉栓塞术联合经皮微创螺钉内固定术救治骨盆骨折合并失血性休克(附21例分析)
- Author:
Guiyun JIN
1
;
Jianshan SHI
;
Tang DENG
;
Shaowen CHENG
Author Information
1. 海南医学院第一附属医院急危重症医学部
- Keywords:
Pelvis;
Fractures,bone;
Shock;
Emergency;
Radiology,interventional;
Screw;
Internal fixation
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(10):587-591
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of emergency interventional arterial embolization combined with percutaneous minimally invasive screw fixation in the treatment of pelvic fracture combined with hemorrhagic shock.Methods A retrospective analysis of 21 patients with pelvic fractures and hemorrhagic shock who were treated with emergency interventional arterial embolization combined with percutaneous minimally invasive screw fixation was performed.The percutaneous minimally invasive screw fixation was performed immediately after embolization.Results There were 18 of 21 cases with obvious arterial bleeding confirmed by femoral artery angiography.And the corresponding interventional embolization was performed.No obvious arterial hemorrhage was found in the other 3 cases who received suspicious hemorrhagic internal iliac arterial prophylactic embolization.The time-consuming of percutaneous minimally invasive screw fixation was no more than 90 min for each patient.There was no servious complication associated with arterial embolization after intervention.Totall 18 cases were improved after discharge.Another 3 cases died,including 2 cases died for postoperative multiple organ failure or disseminated intravascular coagulation,1 case died for hemorrhagic shock caused by still continue bleeding after surgery.The postoperative follow-up was performed during 3-18 months with the average of (10.81 ± 2.62) months.The fractures in all the surviving cases achieved bone healing with good function.Conclusion The emergency interventional arterial embolization combined with percutaneous minimally invasive screw fixation is a safe,fast and effective method for the treatment of pelvic fractures and hemorrhagic shock with less complications.
