Palmtag H, Rössler W, Dreikorn K, Röhl L
Unfallchirurgie. 1983 Oct;9(5):260-7.
Of 510 traumatic renal injuries analyzed for the period 1960-1982, 95 patients demonstrated an injury of grade I-V according to the classification of Küster[11]. 88 patients were treated by surgery, 73 had immediate exploration. 15 patients in whom surgery became necessary after a trial of non operative management demonstrated much more complications than those managed by early operative intervention. Nephrectomy had to be performed in 8 of these 15 patients. The value of early excretory urography, ultrasound and sometimes of CT in the diagnosis of renal injuries is discussed. Arteriography and retrograde pyelography are only useful in very selected cases.
在对1960年至1982年期间分析的510例创伤性肾损伤病例中，根据屈斯特分类法[11]，95例患者表现为Ⅰ - Ⅴ级损伤。88例患者接受了手术治疗，73例进行了急诊探查。15例患者在试行非手术治疗后仍需手术，其并发症比早期手术干预治疗的患者多得多。这15例患者中有8例不得不进行肾切除术。本文讨论了早期排泄性尿路造影、超声检查以及有时CT检查在肾损伤诊断中的价值。动脉造影和逆行肾盂造影仅在极少数特定病例中有用。
