McAninch J W, Carroll P R
Department of Urology, University of California School of Medicine, San Francisco.
Urol Clin North Am. 1989 May;16(2):203-12.
Blunt traumatic renal injuries seldom (less than 10 per cent) require operation. Improved staging techniques such as CT have been responsible for the decrease in the number of renal explorations. Penetrating renal injuries from knife or gunshot wounds historically have mandated surgical exploration. This practice should be continued unless staging studies confirm that the degree of injury justifies expectant management. In the authors' experience, 42 per cent of stab wounds and 76 per cent of gunshot wounds have necessitated renal exploration.
钝性创伤性肾损伤很少（少于10%）需要手术。诸如CT等改良的分期技术已导致肾探查数量减少。历史上，刀伤或枪伤所致的穿透性肾损伤一直需要进行手术探查。除非分期检查证实损伤程度适合保守治疗，否则应继续这种做法。根据作者的经验，42%的刺伤和76%的枪伤需要进行肾探查。
