The guiding value of CTA in the treatment of vascular embolization in emergency pelvic fracture hemorrhage
10.3969/j.issn.1673-9701.2024.22.011
- VernacularTitle:CTA在急诊骨盆骨折出血中对血管栓塞治疗的指导价值
- Author:
Fangye WU
1
;
Hongwei XU
;
Hui ZENG
;
Guoliang SHAO
Author Information
1. 绍兴第二医院医共体总院放射科,浙江绍兴 312000
- Keywords:
Pelvic fracture;
Computed tomography angiography;
Digital subtraction angiography;
Vascular embolization
- From:
China Modern Doctor
2024;62(22):46-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the guiding value of computed tomography angiography(CTA)in the treatment of vascular embolization in patients with emergency pelvic fracture hemorrhage.Methods From June 2019 to June 2023,67 patients with emergency pelvic fracture hemorrhage were selected from General Hospital Medical Communities of Shaoxing Second Hospital.All patients underwent CTA and digital subtraction angiography(DSA),and the application value of CTA was evaluated using the results of DSA as the gold standard.Results CTA examination showed that 66 patients had vascular injury,bleeding or injury of 167 vessels.DSA examination showed that 66 patients had vascular injury,bleeding or injury of 186 vessels.The detection rate of CTA for positive cases was 97.0%,and the detection rate for vascular injury was 82.8%.The positive predictive value of CTA was 92.2%,the negative predictive value was 97.1%,the sensitivity was 82.8%,and the specificity was 98.8%.Conclusion The diagnostic results of CTA examination for emergency pelvic fracture hemorrhage are highly consistent with DSA,which can provide an important reference for the formulation of treatment plans for patients.
