Napal Lecúmberri S, Pascual Piedrola I, Solchaga Martínez A, Arrondo Arrondo J L, Ipiéns Aznar A
Servicio de Urología, Hospital de Navarra, Pamplona, España.
Arch Esp Urol. 1992 May;45(4):305-15.
We reviewed 149 cases of renal trauma that were seen at the Urology Service of Hospital de Navarra from January, 1975 to December, 1989. The severity of the renal injury, type (open or closed), the presence of previous lesions, renal changes, and the diagnostic and therapeutic approaches were analyzed. The follow-up urologic and nephrologic controls are briefly described. Most of the cases with important renal injury have been followed for one to five years. We observed as increased incidence of renal injuries from road traffic accidents in younger patients with a prevalence in the male. Treatment is more conservative and less nephrectomies have been performed. CT, US, renal arteriography and isotope studies have become widely available. The endourological and transcutaneous techniques have been widely used in the treatment of these patients.
我们回顾了1975年1月至1989年12月间在纳瓦拉医院泌尿外科就诊的149例肾外伤病例。分析了肾损伤的严重程度、类型（开放性或闭合性）、既往病变的存在情况、肾脏变化以及诊断和治疗方法。简要描述了后续的泌尿外科和肾脏科检查情况。大多数有严重肾损伤的病例已随访1至5年。我们观察到年轻患者因道路交通事故导致肾损伤的发生率增加，且男性患病率较高。治疗更为保守，肾切除术的实施较少。CT、超声、肾动脉造影和同位素检查已广泛应用。腔内泌尿外科和经皮技术已广泛用于这些患者的治疗。
