Kotake T, Miura N, Ueda T, Suzuki K, Suzuki F, Inomiya H, Nishikawa Y, Yamaguchi K, Ito H, Hirokawa M
Department of Urology, Teikyo University School of Medicine, Ichihara Hospital.
Nihon Jinzo Gakkai Shi. 1991 Oct;33(10):1025-9.
Because of the increase of abdominal trauma owing to traffic accident, the number of renal injury is increasing. Between May 1, 1986 and December 31, 1989, thirty-five cases with renal injury were treated in our hospital. The cases were classified as contusion, minor laceration, major laceration and vascular injury by the clinical findings and the radiographic evaluation. Contusion had 22 patients, who were treated conservatively except one with preexisting hydronephrosis. Four patients of minor laceration were all treated conservatively. In four cases of major laceration nephrectomy was performed, the other five cases were healed conservatively. There were two death cases caused by other organ injuries. The extent of associated injuries influenced the prognosis, rather than the degree of renal damage. Thirty-three cases except two survived with no complication. In cases of major injury same were managed conservatively, other required surgical treatment. Sometimes it is difficult to determine which treatment should be done. Indication for surgical treatment is discussed.
由于交通事故导致腹部创伤增加，肾损伤的数量也在上升。1986年5月1日至1989年12月31日期间，我院共治疗了35例肾损伤患者。根据临床表现和影像学评估，将这些病例分为挫伤、轻度裂伤、重度裂伤和血管损伤。挫伤患者22例，除1例合并肾积水外，其余均采用保守治疗。4例轻度裂伤患者均采用保守治疗。4例重度裂伤患者行肾切除术，另外5例保守治愈。有2例因其他器官损伤死亡。合并损伤的程度而非肾损伤的程度影响预后。除2例外，33例患者存活且无并发症。对于重度损伤，有些患者采用保守治疗，有些则需要手术治疗。有时很难确定应采取哪种治疗方法。本文讨论了手术治疗的指征。
