La Greca G, Elia G, Saglimbene F, Candiano C, Pisani F, Bellia A
Divisione di Pronto Soccorso e Chirurgia d'Urgenza, Garibaldi, Ascoli-Tomaselli S. Luigi, Catania.
Minerva Chir. 1999 Nov;54(11):777-86.
Trauma of the kidney and urinary tract is not rare in emergency surgery and the related treatment needs today high competence and interdisciplinary approach. Aim of the study was to analyze the personal experience in order to find differences in the treatment during the last years especially for trauma of the kidney.
The authors report 113 cases of kidney or urinary tract trauma out of 16,569 patients admitted in emergency between 1981 and 1995. Fifty patients (44%) underwent surgery. Thirty patients (26%) underwent surgery for kidney trauma but in only 5 (16%) conservative surgery for partial damage was possible. Section of the ureter occurred in one patient. Ten patients had a rupture of the bladder and 9 the rupture of urethra. The cause of trauma was a gunshot wound in 11 patients (22%). Nineteen patients (38%) had also damage to other organs.
The results show absence of morbidity or mortality related with urinary tract trauma.
The analysis of these cases shows that the improvement of diagnostic possibilities allowed the reduction of surgical interventions especially for kidney trauma.
肾脏和尿路创伤在急诊手术中并不罕见，目前相关治疗需要高度的专业能力和多学科方法。本研究的目的是分析个人经验，以找出过去几年中治疗方面的差异，尤其是肾脏创伤的治疗差异。
作者报告了1981年至1995年间16569例急诊入院患者中的113例肾脏或尿路创伤病例。50例患者（44%）接受了手术。30例患者（26%）因肾脏创伤接受了手术，但只有5例（16%）因部分损伤可行保守手术。1例患者发生输尿管切断。10例患者膀胱破裂，9例尿道破裂。创伤原因是枪伤的有11例患者（22%）。19例患者（38%）还伴有其他器官损伤。
结果显示不存在与尿路创伤相关的发病率或死亡率。
对这些病例的分析表明，诊断可能性的提高使得手术干预减少，尤其是肾脏创伤。
