Suzuki N, Kubo T, Ohori T
Hinyokika Kiyo. 1987 Jan;33(1):55-63.
In 11 years between January, 1974 and December, 1984 114 patients (92 males and 22 females) were admitted to our departments for urologic injuries. As there were four patients with multiple injuries (both kidneys 1, kidney and ureter 1, kidney and urethra 1, and bladder and urethra 1), the number of cases with kidney, ureter, bladder and urethral injuries were 76 (64%), 33 (28%), 6 (5%) and 3 (3%), respectively. The most frequent incidence was in the second decade. Out of the 75 cases of renal injuries there were 42 cases (56%) of contusions, 21 (28%) of lacerations, 7 (9.3%) of ruptures and 5 (6.7%) of pedicle injuries. Only 14 cases (18.7%) were treated surgically, namely six by nephrectomy and eight by a conservative approach (suture 1, drainage 3, partial nephrectomy 3 and pyeloplasty 1). Of the 3 cases of ureteral injuries all cases were treated surgically. Of the 6 cases of bladder injuries four cases were treated surgically. Of the 33 cases of urethral injuries 10 cases were complicated by fractures of the pelvis. Twenty three cases (74%) were treated surgically.
在1974年1月至1984年12月的11年间，114例患者（92例男性和22例女性）因泌尿系统损伤入住我们科室。由于有4例患者为多发伤（双侧肾脏损伤1例、肾脏和输尿管损伤1例、肾脏和尿道损伤1例、膀胱和尿道损伤1例），肾脏、输尿管、膀胱和尿道损伤的病例数分别为76例（64%）、33例（28%）、6例（5%）和3例（3%）。最常见的发病年龄在第二个十年。在75例肾脏损伤病例中，有42例（56%）为挫伤，21例（28%）为裂伤，7例（9.3%）为破裂，5例（6.7%）为肾蒂损伤。仅14例（18.7%）接受了手术治疗，即6例行肾切除术，8例采用保守治疗方法（缝合1例、引流3例、部分肾切除术3例和肾盂成形术1例）。3例输尿管损伤病例均接受了手术治疗。6例膀胱损伤病例中有4例接受了手术治疗。33例尿道损伤病例中有10例合并骨盆骨折。23例（74%）接受了手术治疗。
