Division of Urology, Department of Surgery, Cook County Hospital, Cook County Health and Hospitals System, Chicago, IL 60612, USA.
Urology. 2011 Nov;78(5):1187-90. doi: 10.1016/j.urology.2011.07.1386. Epub 2011 Sep 25.
To use the National Trauma Data Bank (NTDB) to evaluate bicycling-related genitourinary (GU) injury. Bicycling is a popular recreational and competitive sport with recognized risks. GU injuries associated with bicycling is unknown.
Patient cases were extracted from the NTDB, version 9.1, using the mechanism of injury Ecode for pedal cyclist and ICD-9 codes for GU injuries. The type of GU injuries, patient demographics, Injury Severity Score, surgical management, outcomes, and disposition were analyzed.
Of 635,013 trauma cases evaluated, 16,585 were identified as trauma because of bicycle injury. GU injuries were sustained in 358 (2%) patients; 86% were male, with a mean age of 29 years. The most commonly injured GU organ was the kidney (75%), followed by bladder and urethra (15%), and penis and scrotum (10%). These injuries resulted in nephrectomy (0.4%), cystorrhaphy (11.3%), scrotorrhaphy (42.1%), testicular repair (3.1%), and penile repair (7.5%). Most common associated injuries included vertebral fracture (35%), pelvic fracture (25%), spleen (19%), and open head wound (15%). Patients who sustained a vertebral fracture commonly sustained a concomitant bladder and urethra (37.7%) or a renal injury (22.6%).
GU injury is an infrequent occurrence with bicycle trauma, occurring in 2% of bicycle injuries, with kidneys being the most commonly injured GU organ. Physicians treating bicyclists who sustained a vertebral fracture should be aware of a possible concomitant renal or bladder injury. Young males appear to be principally at risk for GU injury.
利用国家创伤数据库（NTDB）评估与骑自行车相关的泌尿生殖系统（GU）损伤。骑自行车是一项流行的娱乐和竞技运动，其风险已得到公认。与骑自行车相关的 GU 损伤尚不清楚。
使用 pedal cyclist 的损伤机制 Ecode 从 NTDB，版本 9.1 中提取患者病例，并使用 GU 损伤的 ICD-9 代码。分析 GU 损伤的类型、患者人口统计学特征、损伤严重程度评分、手术管理、结果和处置。
在评估的 635013 例创伤病例中，有 16585 例被确定为因自行车受伤而导致的创伤。358 例（2%）患者发生 GU 损伤；86%为男性，平均年龄 29 岁。最常受伤的 GU 器官是肾脏（75%），其次是膀胱和尿道（15%），以及阴茎和阴囊（10%）。这些损伤导致肾切除术（0.4%）、膀胱修补术（11.3%）、阴囊修补术（42.1%）、睾丸修复术（3.1%）和阴茎修复术（7.5%）。最常见的相关损伤包括椎体骨折（35%）、骨盆骨折（25%）、脾损伤（19%）和开放性头部伤口（15%）。发生椎体骨折的患者常伴有膀胱和尿道损伤（37.7%）或肾脏损伤（22.6%）。
GU 损伤在自行车创伤中很少见，占自行车损伤的 2%，肾脏是最常受伤的 GU 器官。治疗发生椎体骨折的骑自行车者的医生应注意可能存在的肾或膀胱损伤。年轻男性似乎主要面临 GU 损伤的风险。
