Obenauer Silvia, Plothe Klaus-Dieter, Ringert Rolf H, Heuser Markus
Department of Diagnostic Radiology, Georg-August-University, Göttingen, Germany.
Scand J Urol Nephrol. 2006;40(5):416-22. doi: 10.1080/00365590600796642.
The kidney, bladder and male urethra are the organs typically injured by blunt and penetrating trauma to the urinary tract, whereas the ureter is only rarely injured. The staging of genitourinary tract trauma has recently gained tremendous significance due to improvements in ultrasound, CT and MRI, including contrast-enhanced magnetic resonance angiography, and has become a helpful tool for decision making with regard to conservative and surgical management. Furthermore, interventional radiology may be helpful to control hemorrhage from vessels in the pelvic region that may not be easily accessed by open surgery. Therefore, this pictorial essay gives examples of the radiological presentation of genitourinary trauma and describes technical details of the diagnostic imaging modalities used.
肾脏、膀胱和男性尿道是尿路钝性和穿透性创伤中典型的受损器官,而输尿管很少受伤。由于超声、CT和MRI(包括对比增强磁共振血管造影)技术的改进,泌尿生殖道创伤的分期最近变得极为重要,并已成为保守治疗和手术治疗决策的有用工具。此外,介入放射学可能有助于控制盆腔区域血管出血,而开放手术可能难以触及这些血管。因此,本文通过图片展示泌尿生殖道创伤的影像学表现,并描述所用诊断成像方式的技术细节。