Hai M A, Pontes J E, Pierce J M
J Urol. 1977 Jul;118(1 Pt 1):7-9. doi: 10.1016/s0022-5347(17)57866-0.
A review is presented of 102 patients with significant renal trauma seen in the last 5 years. All patients underwent exploratory laparotomy for abdominal trauma and had associated urologic injuries, which were managed by conservative surgery. Forty-eight patients had non-expanding retroperitoneal hematoma and were treated expectantly. Nine patients needed exploration and drainage only, while 18 had some form of renorrhaphy. Four patients underwent repairs of renal pelvic injuries, 12 underwent partial nephrectomy and 11 underwent repairs of renal pedicle injuries. A conservative approach to renal trauma is emphasized.
本文回顾了过去5年中收治的102例严重肾外伤患者。所有患者均因腹部外伤接受了剖腹探查术，且伴有泌尿系统损伤，均采用保守手术治疗。48例患者有非扩展性腹膜后血肿，采用保守观察治疗。9例患者仅需进行探查和引流，18例患者进行了某种形式的肾缝合术。4例患者进行了肾盂损伤修复术，12例患者接受了部分肾切除术，11例患者进行了肾蒂损伤修复术。强调了对肾外伤采取保守治疗的方法。
