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[肾及输尿管损伤。诊断与治疗]

[Renal and ureteral injuries. Diagnosis and treatment].

作者信息

Hegele A

机构信息

Klinik für Urologie und Kinderurologie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Philipps-Universität Marburg, Marburg, Deutschland.

出版信息

Urologe A. 2016 Apr;55(4):460-5. doi: 10.1007/s00120-016-0064-y.

DOI:10.1007/s00120-016-0064-y
PMID:27008367
Abstract

BACKGROUND

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.

THEME

This article reviews the actual diagnostic procedures, classification, and stage-dependent therapy options in renal and ureteral injuries.

摘要

背景

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。

主题

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。

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1
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Urologe A. 2016 Apr;55(4):460-5. doi: 10.1007/s00120-016-0064-y.
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本文引用的文献

1
[Operative interventions of urologic traumata in severe injured patients in the acute phase].[急性期重症创伤患者泌尿系统创伤的手术干预]
Urologe A. 2016 Apr;55(4):506-13. doi: 10.1007/s00120-015-0016-y.
2
Ureteral injuries in colorectal surgery: an analysis of trends, outcomes, and risk factors over a 10-year period in the United States.结直肠手术中的输尿管损伤:美国 10 年间的趋势、结局和危险因素分析。
Dis Colon Rectum. 2014 Feb;57(2):179-86. doi: 10.1097/DCR.0000000000000033.
3
Current epidemiology of genitourinary trauma.目前泌尿生殖系统创伤的流行病学。
Urol Clin North Am. 2013 Aug;40(3):323-34. doi: 10.1016/j.ucl.2013.04.001. Epub 2013 Jun 12.
4
Accuracy of sonography in detection of renal injuries caused by blunt abdominal trauma: a prospective study.超声检查对钝性腹部创伤所致肾损伤的诊断准确性:一项前瞻性研究。
Ulus Travma Acil Cerrahi Derg. 2009 Jan;15(1):23-7.
5
American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank.美国创伤外科协会器官损伤分级标准 I:脾脏、肝脏和肾脏,基于国家创伤数据库的验证
J Am Coll Surg. 2008 Nov;207(5):646-55. doi: 10.1016/j.jamcollsurg.2008.06.342. Epub 2008 Aug 30.
6
[Kidney trauma].[肾创伤]
Urologe A. 2008 Jun;47(6):759-67; quiz 768. doi: 10.1007/s00120-008-1766-6.
7
Features and outcomes of patients with grade IV renal injury.IV级肾损伤患者的特征及预后
BJU Int. 2008 Sep;102(6):728-33; discussion 733. doi: 10.1111/j.1464-410X.2008.07638.x. Epub 2008 Apr 24.
8
Rigid ureteroscopy for ureteral stones: factors associated with intraoperative adverse events.输尿管硬镜治疗输尿管结石:与术中不良事件相关的因素
J Endourol. 2008 Feb;22(2):277-80. doi: 10.1089/end.2007.0072.
9
Conservative management of renal trauma: a review.肾创伤的保守治疗:综述
Urology. 2007 Oct;70(4):623-9. doi: 10.1016/j.urology.2007.06.1085.
10
Iatrogenic ureteral lesions and repair: a review for gynecologists.
J Minim Invasive Gynecol. 2007 Jul-Aug;14(4):428-35. doi: 10.1016/j.jmig.2007.01.003.