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目的评估血管造影诊断及介入治疗在血管损伤中的价值。方法回顾性分析５３例血管损伤的血管造影表现及２５例治疗性栓塞病例。着重分析其病因、解剖分布、不同时相的造影表现及介入治疗指征。结果血管造影不仅能明确血管损伤的部位、状况和程度，而且对治疗方法的选择具有指导意义。急性损伤的血管造影表现主要为造影剂外溢和血管模糊中断，但造影剂的血管外溢程度与临床表现并不一致，故不能以此推断预后；慢性损伤多表现为假性动脉瘤或动静脉瘘。结论血管造影改变了血管外伤的治疗选择，对某些部位的血管损伤：如颅底、肾脏、盆腔和髂股部等，介入治疗优于外科手术
Objective To evaluate the diagnostic value of angiography and interventional therapy in vascular injury. Methods A retrospective analysis of 53 cases of vascular injury angiography and 25 cases of therapeutic embolization. Focus on the analysis of its etiology, anatomy and distribution, different phases of the angiography and interventional indications. Results Angiography can not only clarify the location, status and extent of vascular injury, but also guide the choice of treatment methods. Acute injury angiography mainly for the contrast agent spillover and blurred blood vessels, but the degree of vascular contrast agent and clinical manifestations are not consistent, it can not infer the prognosis; chronic injury and more performance for the pseudoaneurysm or arteriovenous fistula. Conclusion Angiography ameliorates the treatment options for vascular trauma. Vascular injury to certain sites, such as skull base, kidneys, pelvis, and iliofemoral, is superior to surgery