Mansbridge Margaret M, Ryan James, Hill David C, Wullschleger Martin
Department of Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
Department of Radiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
ANZ J Surg. 2019 Apr;89(4):339-344. doi: 10.1111/ans.15026. Epub 2019 Jan 30.
Limited data Exists ? on the Australian epidemiology of renal trauma, with very few studies published in the literature. The authors aim to detail the trends of renal trauma in the coastal city of the Gold Coast.
Retrospective data collection yielded 81 patients who sustained renal trauma from our 3-year period. Data included information on demographics, mechanism, American Association for the Surgery of Trauma (AAST) grade, presence of haematuria, associated injuries, management, and complications.
Male patients accounted for 83% (n = 67) of cases, and the average age of all injuries was 36 years. Low-grade AAST Grade I-III injuries comprised of 76% (n = 62) of injuries, AAST Grade IV contributed to 20% (n = 16) and 4% (n = 3) of injuries were AAST Grade V. The most common mechanism of injury was road accidents accounting for 35% (n = 28) followed by fall-related injuries (26%, n = 21). Other mechanisms included sport-related (13.5%, n = 11), non-motorized bicycle injuries (8.5%, n = 7), alleged assault (8.5%, n = 7), pedestrian injuries (5%, n = 4) and horse-related injuries (2%, n = 2). Ninety-six percent (n = 78) of kidney injuries were managed conservatively. Of the patients requiring intervention, all were AAST Grade V kidney injuries.
Males accounted for the majority of renal trauma cases, similar to the 3:1 ratio of male-to-female injuries found in other studies. In line with other studies, renal trauma reviewed on the Gold Coast also revealed road trauma as the leading cause, closely followed by falls. The majority of high-grade renal trauma was managed conservatively.
关于澳大利亚肾创伤流行病学的数据有限，文献中发表的研究很少。作者旨在详述黄金海岸这个沿海城市肾创伤的趋势。
通过回顾性数据收集，在我们为期3年的时间段内有81例发生肾创伤的患者。数据包括人口统计学、受伤机制、美国创伤外科协会（AAST）分级、血尿情况、相关损伤、治疗及并发症等信息。
男性患者占病例的83%（n = 67），所有受伤患者的平均年龄为36岁。AAST I - III级低级别损伤占损伤病例的76%（n = 62），AAST IV级占20%（n = 16），AAST V级占4%（n = 3）。最常见的受伤机制是道路交通事故，占35%（n = 28），其次是与跌倒相关的损伤（26%，n = 21）。其他机制包括与运动相关的（13.5%，n = 11）、非机动自行车损伤（8.5%，n = 7）、涉嫌袭击（8.5%，n = 7）、行人损伤（5%，n = 4）和与马匹相关的损伤（2%，n = 2）。96%（n = 78）的肾损伤采用保守治疗。在需要干预的患者中，均为AAST V级肾损伤。
男性占肾创伤病例的大多数，这与其他研究中发现的男性与女性受伤比例为3:1相似。与其他研究一致，黄金海岸的肾创伤情况也显示道路创伤是主要原因，其次是跌倒。大多数高级别肾创伤采用保守治疗。
