Hegele A
Klinik für Urologie und Kinderurologie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Philipps-Universität Marburg, Marburg, Deutschland.
Urologe A. 2016 Apr;55(4):460-5. doi: 10.1007/s00120-016-0064-y.
In severely injured patients, urologic trauma is diagnosed in about 10 % of patients. Renal trauma is most common, while ureteral trauma is in the majority of cases iatrogenic. These two urologic injuries influence the clinical course, morbidity, and mortality. Thus, rapid identification, sufficient diagnostic workup, and adequate therapy of renal and ureteral injuries are essential.
This article reviews the actual diagnostic procedures, classification, and stage-dependent therapy options in renal and ureteral injuries.
在重伤患者中,约10%的患者被诊断为泌尿系统创伤。肾创伤最为常见,而输尿管创伤在大多数情况下是医源性的。这两种泌尿系统损伤会影响临床病程、发病率和死亡率。因此,快速识别、充分的诊断检查以及对肾和输尿管损伤进行适当治疗至关重要。
本文综述了肾和输尿管损伤的实际诊断程序、分类以及根据分期的治疗选择。