结肠损伤对同时存在的肾外伤处理的影响。
Effect of colon injury on the management of simultaneous renal trauma.
作者信息
Wessells H, McAninch J W
机构信息
Department of Urology, University of California School of Medicine, San Francisco 94143-0738, USA.
出版信息
J Urol. 1996 Jun;155(6):1852-6.
PURPOSE
We determined the effect of simultaneous colon injury on the management of renal trauma.
MATERIALS AND METHODS
A retrospective review was done of 62 cases of colon and renal injuries from 1977 to 1994, representing 2.5% of 2,596 renal trauma cases.
RESULTS
Renal trauma management was consistent with the grade of renal injury. Renal exploration was performed in 58% of the cases, with nephrectomy performed in 16% of the explorations and only for severely injured kidneys. Urological complications occurred in 16% of the cases but they resulted in loss of only 1 renal unit.
CONCLUSIONS
Renal injury and reconstruction should not be treated differently in the face of colon injury, including gross fecal contamination.
目的
我们确定了同时存在的结肠损伤对肾创伤处理的影响。
材料与方法
对1977年至1994年期间62例结肠和肾损伤病例进行回顾性分析，这些病例占2596例肾创伤病例的2.5%。
结果
肾创伤的处理与肾损伤的分级一致。58%的病例进行了肾探查，其中16%的探查病例进行了肾切除术，且仅针对严重损伤的肾脏。16%的病例发生了泌尿系统并发症，但仅导致1个肾单位丧失。
结论
面对结肠损伤，包括严重粪便污染，肾损伤及重建的处理不应有所不同。
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