钝性创伤所致的孤立性输尿管损伤。
Isolated ureteral injury caused by blunt trauma.
作者信息
Kotkin L, Brock J W
机构信息
Department of Pediatric Urology, Children's Hospital, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765, USA.
出版信息
Urology. 1996 Jan;47(1):111-3. doi: 10.1016/s0090-4295(99)80393-8.
OBJECTIVES
Ureteral injury is rare after blunt trauma. Herein is presented this unusual scenario of ureteral trauma in addition to the pathophysiology of this injury.
METHODS
A 12-year-old boy sustained a rupture of the right ureter 6 cm below the ureteropelvic junction after a car accident. No other injuries or fractures were identified.
RESULTS
Ureteral injury was immediately diagnosed and repaired primarily. Intravenous urography performed 8 weeks after surgery revealed normal ureteral healing without stricture formation.
CONCLUSIONS
To our knowledge, the isolated avulsion of the ureter in this location has not been reported previously, but must be considered in those patients with severe blunt trauma and hyperextension injuries.
目的
钝性创伤后输尿管损伤较为罕见。本文介绍了这种不寻常的输尿管创伤情况及其损伤的病理生理学。
方法
一名12岁男孩在车祸后，右侧输尿管在肾盂输尿管连接处下方6厘米处发生破裂。未发现其他损伤或骨折。
结果
输尿管损伤立即被诊断并进行了一期修复。术后8周进行的静脉肾盂造影显示输尿管愈合正常，无狭窄形成。
结论
据我们所知，此前尚未报道过该部位输尿管的孤立性撕脱，但在那些遭受严重钝性创伤和过伸伤的患者中必须予以考虑。
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