Eickenberg H U, Amin M
J Trauma. 1976 Jul;16(7):562-5. doi: 10.1097/00005373-197607000-00008.
Since our last review 17 more patients have been treated for ureteral gunshot injuries. In six cases the upper ureter, in two the middle, and in nine cases the lower ureter was involved. Associated visceral injuries were numerous with the small intestine the most commonly injured. In over 50% of the injuries to the lower ureter, the iliac vein was injured. In three patients the ureter was the only major structure involved. There was no hospital mortality. Optimal surgical repair done by generous resection, primary end-to-end anastomosis and stenting and drainage via a proximal ureteral T-tube gave excellent results and no longterm complications in a population subject to careful short and longterm followup. While an uncommon injury, the principles of effective repair are clear and must be applied in the face of serious associated disorders to continue these satisfactory results.
自我们上次综述以来，又有17例患者接受了输尿管枪伤治疗。其中6例累及上段输尿管，2例累及中段，9例累及下段输尿管。合并的内脏损伤很多，小肠是最常受伤的部位。在超过50%的下段输尿管损伤中，髂静脉也受到了损伤。有3例患者输尿管是唯一受累的主要结构。无医院死亡病例。通过充分切除、一期端端吻合以及经近端输尿管T管进行支架置入和引流等方式进行的最佳手术修复，在经过仔细的短期和长期随访的人群中取得了优异的效果，且无长期并发症。虽然这是一种不常见的损伤，但有效修复的原则是明确的，面对严重的合并症时必须应用这些原则以持续取得这些令人满意的结果。
