Roberts R A, Belitsky P, Lannon S G, Mack F G, Awad S A
Can J Surg. 1987 Jul;30(4):253-5.
Controversy in the treatment of blunt renal trauma is largely focused on immediate surgery versus conservative management for parenchymal lacerations. A retrospective analysis of 133 cases of blunt renal trauma at the Victoria General Hospital in Halifax over a 10-year period revealed 26 cases of renal laceration. The conservative approach to radiologic diagnosis and treatment options is discussed. Our experience confirms a low rate of both nephrectomy and secondary complications using conservative management.
钝性肾损伤治疗中的争议主要集中在实质裂伤是立即手术还是保守治疗。对哈利法克斯维多利亚总医院10年间133例钝性肾损伤病例的回顾性分析显示，有26例肾裂伤。文中讨论了放射学诊断和治疗方案的保守方法。我们的经验证实，采用保守治疗时肾切除率和继发性并发症的发生率都很低。
