Peterson N E, Stables D
Urology. 1977 Jan;9(1):11-6. doi: 10.1016/0090-4295(77)90275-8.
Our experience with 104 cases of blunt renal trauma included 20 injuries of intermediate degree. Of this group, urinary extravasation (60 per cent) and parenchymal laceration (100 per cent) were predominant features exhibited by conventional radiographic studies. Both findings do not require surgical intervention and spontaneous resolution can be anticipated. Nephrectomy (9 cases) and heminephrectomy (2 cases) were perhaps performed unnecessarily in this group since 9 similar patients managed either consevatively (7 cases) or subjected to minor operative procedures on the kidney (2 cases) responded with total functional and anatomic recovery. Arteriography is at times recommended since it can provide information that will give confidence in the conservative management of some cases.
我们对104例钝性肾损伤的经验包括20例中度损伤。在这组病例中，传统影像学检查显示的主要特征是尿外渗（60%）和实质撕裂（100%）。这两种情况均无需手术干预，可预期自行缓解。该组中可能不必要地进行了肾切除术（9例）和半肾切除术（2例），因为9例类似患者，其中7例采用保守治疗，2例接受了肾脏小手术，均实现了功能和解剖结构的完全恢复。有时推荐进行动脉造影，因为它可以提供信息，使人们对某些病例的保守治疗有信心。
