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目的:一站式杂交手术是一种新兴的外科综合技术,其在创伤领域应用尚属空白,初步探讨其在创伤救治中的作用及疗效。方法:利用我院新建的杂交手术室(Hybrid room)平台,2010年9月-2011年5月共救治6例创伤患者,包括股动脉损伤伴感染性假性动脉瘤2例,闭合性左股骨骨折术后股部血肿、钢筋会阴穿通伤后椎管脓肿并椎管-直肠瘘、腹部穿透伤并发金属异物存留、多发伤术后右肾破裂活动性出血并腹腔间隙综合征各1例,评价一站式杂交手术的流程、有关技术和近期疗效。结果:6例创伤患者中,5例成功救治,1例死于创伤后致死三联征(低体温、代谢性酸中毒、凝血病)。结论:一站式杂交手术在创伤领域的应用,是现代高级影像诊断技术、血管腔内技术和传统手术相结合同时、同地用于创伤患者的再评估和复合治疗方法,而不仅局限于同一解剖部位或脏器,而是整个受伤人体,尤其是多发伤、多部位伤。其相对于传统外科手术的应用前景和疗效需要进一步研究。
OBJECTIVE: One-stop hybrid surgery is a new surgical technique that is still blank in the field of trauma and its role in the treatment of trauma and its therapeutic effect are discussed. Methods: Six trauma patients, including femoral artery injury and infectious pseudoaneurysm, were treated in our hospital from September 2010 to May 2011. The closed left femur Fractures postoperative hematoma, perineal perineal penetrating injury spinal canal abscess and spinal canal - rectal fistula, abdominal penetrating injury with metallic foreign body retention, multiple traumatic right renal rupture active bleeding and peritoneal space syndrome in 1 case, Evaluation of one-stop hybridization surgery process, the relevant technology and short-term efficacy. Results: Of the 6 trauma patients, 5 were successfully treated and 1 died of traumatic triad (hypothermia, metabolic acidosis, coagulopathy). Conclusion: The application of one-stop hybridization in the field of trauma is a combination of modern advanced diagnostic imaging techniques, endovascular techniques and traditional surgical techniques. It is not only limited to the same Anatomical parts or organs, but the entire injured body, especially multiple injuries, multiple injuries. Its relative to the traditional surgical application prospects and efficacy need further study.