肾脏栓塞治疗创伤:叙述性综述。

Journal of Trauma and Injury Pub Date : 2024-09-01 Epub Date: 2024-09-24 DOI:10.20408/jti.2024.0021
Peter Lee, Simon Roh
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引用次数: 0

摘要

肾损伤通常与钝性创伤有关,尤其是在机动车事故中。对比增强计算机断层扫描被认为是评估钝性创伤和穿透性创伤患者肾脏损伤的黄金标准成像模式,并有助于根据美国创伤外科协会损伤评分标准对损伤进行分类。在过去的几十年中,肾创伤的治疗方法不断发展,并明显转向更为保守的非手术治疗方法。影像学和介入放射学技术的进步使诊断性血管造影和血管造影导管引导栓塞成为一种可行的选择,从而避免了增加肾切除风险的手术干预。这篇综述介绍了目前肾创伤的治疗方法,重点是肾动脉栓塞技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Renal embolization for trauma: a narrative review.

Renal injuries commonly occur in association with blunt trauma, especially in the setting of motor vehicle accidents. Contrast-enhanced computed tomography is considered the gold-standard imaging modality to assess patients for renal injuries in the setting of blunt and penetrating trauma, and to help classify injuries based on the American Association for the Surgery of Trauma injury scoring scale. The management of renal trauma has evolved in the past several decades, with a notable shift towards a more conservative, nonoperative approach. Advancements in imaging and interventional radiological techniques have enabled diagnostic angiography with angiographic catheter-directed embolization to become a viable option, making it possible to avoid surgical interventions that pose an increased risk of nephrectomy. This review describes the current management of renal trauma, with an emphasis on renal artery embolization techniques.

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