Cortellini P, Ferretti S, Di Stefano C
Divisione di Urologia, Azienda Ospedaliera, Parma.
Minerva Urol Nefrol. 1997 Dec;49(4):183-7.
During a 12-year period, 110 patients with renal blunt trauma have been observed. Renal exploration was performed in 17 patients (15.45%). Absolute indications for exploration were bleeding and pulsatile perirenal hematoma and associated abdominal injuries. Salvage was successful in 76.48% of the kidneys explored and hemostatic nephrectomy was required in 23.52%. The success rate was based on early vascular control and reconstructive techniques of renorrhaphy, partial nephrectomy and coverage with omental pedicle flaps.
At follow-up, hypertension occurred in only 3 patients and resolved spontaneously after 3-6 months.
On the basis of personal experience, the conclusion is drawn in that when renal exploration is required, reconstruction can be successful in a high percentage of patients.
在12年期间，观察了110例肾钝性创伤患者。17例患者（15.45%）进行了肾探查。探查的绝对指征是出血、肾周搏动性血肿及相关腹部损伤。探查的肾脏中76.48%挽救成功，23.52%需要进行止血性肾切除术。成功率基于早期血管控制以及肾缝合术、部分肾切除术和带蒂大网膜瓣覆盖等重建技术。
随访时，仅3例患者出现高血压，3 - 6个月后自行缓解。
根据个人经验得出结论，当需要进行肾探查时，重建在高比例患者中可取得成功。
