Mareković Z, Kalauz N, Pasini J
Uroloska klinika Klinicki bolnicki centar, Medicinski fakultet Sveucilista u Zagrebu.
Lijec Vjesn. 1991 Jul-Aug;113(7-8):230-3.
War injuries of the urogenital system present serious injuries accompanied with significant morbidity and mortality as well as causing high degree of later disablement. The paper presents our experiences and basic directions in treating urogenital injuries especially those penetrating and inflicted by high velocity missiles. Thirteen patients with urogenital injuries have been operated on and that makes 4% of all war injuries treated at KBC-Rebro hospital. Among the total number of abdominal injuries those urological make a considerable share--as high as 21% and that could be the consequence of the triage. In all the patients except one, in whom either kidney, ureter or bladder has been injured there has also been an associated injury of another abdominal organ (mostly colon and small intestine, than liver and spleen). All the operating procedures have been performed together with the general surgery team. X-ray preoperative examinations have been carried out only in two patients while the general state of the rest of the patients has not allowed for such procedures which could delay surgery. Nephrectomy has been performed in only one out of these thirteen patients. Orchidectomy has been carried out in only one patient in whom extensive laceration of the testis has occurred, while in others preserving surgical treatment has been applied.
泌尿生殖系统战伤伤情严重，常伴有较高的发病率和死亡率，还会导致严重的后期残疾。本文介绍了我们在治疗泌尿生殖系统损伤，尤其是高速导弹所致穿透伤方面的经验和基本方向。我们对13例泌尿生殖系统损伤患者进行了手术治疗，占雷布罗医院治疗的所有战伤患者的4%。在腹部损伤总数中，泌尿外科损伤占相当大的比例——高达21%，这可能是分诊的结果。除1例患者仅伤及肾、输尿管或膀胱外，其他所有患者均合并有其他腹部器官损伤（主要是结肠和小肠，其次是肝脏和脾脏）。所有手术均与普通外科团队联合进行。仅2例患者进行了术前X线检查，其余患者的一般状况不允许进行此类可能延误手术的检查。这13例患者中仅1例行肾切除术。仅1例睾丸广泛撕裂伤患者行睾丸切除术，其他患者均采用保留性手术治疗。
