Valentin F, Gillet J M, Lhoumeau D, Broussin J
J Radiol Electrol Med Nucl. 1975 Dec;56(12):887-90.
From this analysis of a series of 39 cases of trauma submitted to angiography, it can once again be said that surgical indications and tactics are essentially determined by vascular involvment. Renal arteriography is therefore alone capable of answering two primordial questions: "Must surgery be undertaken and when operating, what surgical tactics to adopt". It must be preceded by full arteriography which enables one to evaluate associated lesions (spleen 15%), at the same time as it orientates selective arteriography. The I.V.P. is a correct means of approach but is only significant in 60% of cases. Abstention from radiological investigation as a primary requisite is unpardonable and can leave irreversible sequels. (10% of cases).
通过对39例接受血管造影的创伤病例进行的这一分析，可以再次表明，手术指征和策略基本上由血管受累情况决定。因此，只有肾动脉造影能够回答两个首要问题：“是否必须进行手术，以及手术时应采取何种手术策略”。在进行肾动脉造影之前，必须先进行全面的动脉造影，这有助于评估相关病变（脾脏病变占15%），同时为选择性动脉造影指明方向。静脉肾盂造影是一种正确的检查方法，但仅在60%的病例中有意义。将不进行放射学检查作为首要条件是不可原谅的，而且可能会留下不可逆转的后遗症（占病例的10%）。
