Dokucu A I, Ozdemir E, Oztürk H, Otçu S, Onen A, Ciğdem K, Kaya M, Bükte Y, Yücesan S
Department of Pediatric Surgery, Dicle University Hospital, Diyarbakir, Turkey.
Int Urol Nephrol. 2000;32(1):3-8. doi: 10.1023/a:1007166723668.
We analysed the inter-relationships of the cause and the type of trauma, the presence of pelvic fracture, the associated intraabdominal organ injuries, and the morbidity and mortality rates in 154 patients presenting and being treated for UGT between 1983 and 1997. The cause of injury was blunt in 77% of cases and penetrating in 13%. The most frequently injured organs were kidney followed by urethra and bladder. Bowels, liver and spleen were the most frequently associated injured organs. Moreover, bladder injuries were strongly associated with bowel injuries (p < 0.0001). Hemodynamically normal 49 children with minor or major kidney injuries were managed conservatively. Hemodynamically non-stable 11 patients were explored. The majority of urogenital injuries can be managed conservatively even when associated with intraabdominal organ injuries. Solid genitourinary organ injuries may accompany more frequently to intraperitoneal solid organ injury. Whereas, non-solid genitourinary organ injuries may more frequently associated with injuries of intraperitoneal hollow viscus.
我们分析了1983年至1997年间因泌尿生殖系统创伤（UGT）就诊并接受治疗的154例患者的创伤原因与类型、骨盆骨折情况、相关的腹内器官损伤以及发病率和死亡率之间的相互关系。77%的病例损伤原因是钝性的，13%是穿透性的。最常受伤的器官是肾脏，其次是尿道和膀胱。肠道、肝脏和脾脏是最常合并受伤的器官。此外，膀胱损伤与肠道损伤密切相关（p<0.0001）。49例血流动力学正常的轻度或重度肾损伤儿童接受了保守治疗。11例血流动力学不稳定的患者接受了探查。即使合并腹内器官损伤，大多数泌尿生殖系统损伤也可采用保守治疗。实性泌尿生殖器官损伤可能更常伴有腹腔内实性器官损伤。而中空性泌尿生殖器官损伤可能更常与腹腔内中空脏器损伤相关。
