外部暴力所致输尿管损伤：59例患者的10年经验

Ureteral injuries due to external violence: 10 years' experience with 59 cases.

作者信息

Bright T C, Peters P C

出版信息

J Trauma. 1977 Aug;17(8):616-20.

Abstract

Fifty-nine cases of traumatic ureteral damage are presented. Gunshot wounds comprise the majority (52/59). Need for a high index of suspicion and aggressive diagnostic measures is stressed. The effects of missile velocity on the ureter are noted. Prompt operative management is advocated: choice of procedure depends on the location of the ureteral defect. Urinary complications occurred in 11/59 (19%). Four complications resulted from operative techniques no longer recommended. The death rate of 10% is related to the high incidence (57/59) of associated visceral and vascular injuries.

摘要

本文报告了59例创伤性输尿管损伤病例。枪伤占大多数（52/59）。强调了高度怀疑和积极诊断措施的必要性。记录了导弹速度对输尿管的影响。提倡及时进行手术治疗：手术方式的选择取决于输尿管缺损的位置。59例中有11例（19%）发生了泌尿系统并发症。4例并发症是由不再推荐的手术技术导致的。10%的死亡率与合并内脏和血管损伤的高发生率（57/59）有关。