Idoipe Tomás J I, Prera Vilaseca A, Conejero Sugrañés J, Muniesa Calderó M, Sarroca Ibáñez J, Berián Polo J M
Servicio de Urología, Hospital General Valle de Hebrón, Universidad Autónoma de Barcelona, España.
Arch Esp Urol. 1991 Mar;44(2):113-23.
We evaluated 287 cases of blunt renal trauma that had been treated at the Urology Department of the Valle de Hebrón Hospital from 1974 to 1987. Data gleaned from patient work up, diagnosis and treatment during the acute phase are presented, highlighting the early and long-term results. Patient follow-up ranging from 1 to 10 years and data from statistical analyses show that conservative treatment achieved better early and late results than surgical treatment of the compromised renal unit. Hypertension was an uncommon secuela in our series (1% incidence). Evaluation with radioisotopes has proved to be the most reliable diagnostic method in the long-term assessment of secuelae in the renal unit.
我们评估了1974年至1987年在瓦尔德希伯伦医院泌尿外科接受治疗的287例钝性肾损伤病例。本文呈现了急性期从患者检查、诊断到治疗过程中收集的数据，重点介绍了早期和长期的治疗结果。对患者长达1至10年的随访以及统计分析数据表明，对于受损肾单位，保守治疗在早期和晚期都比手术治疗取得了更好的效果。在我们的病例系列中，高血压是一种罕见的后遗症（发病率为1%）。放射性同位素评估已被证明是对肾单位后遗症进行长期评估时最可靠的诊断方法。
