Matsumura T, Hara S, Takahara M, Fujita M, Murakami S
Hinyokika Kiyo. 1984 Apr;30(4):471-7.
Since 1968, we experienced 65 cases of urinary tract injury. These include a rare case of traumatic renal artery thrombosis which was later followed by renovascular hypertension, a rare case of complete ureteral disruption, and 2 cases of renal injury which were first treated conservatively but were nephrectomized later because of rebleeding. These cases are reported and discussion is made about the relationship between the clinical findings and the indication of nephrectomy. We used endoscopic management (Yasuda method) in the cases of complete disruption of posterior urethra accompanied by pelvic fracture and obtained good results.
自1968年以来,我们共经历了65例尿路损伤病例。其中包括1例罕见的创伤性肾动脉血栓形成,随后发展为肾血管性高血压;1例罕见的完全性输尿管断裂;以及2例肾损伤,最初采用保守治疗,但后来因再次出血而行肾切除术。本文报告了这些病例,并对临床发现与肾切除指征之间的关系进行了讨论。对于伴有骨盆骨折的后尿道完全断裂病例,我们采用了内镜治疗(安田法),并取得了良好效果。