中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2001年
6期
353-355
,共3页
王增军%眭元庚%吴宏飞%王成标%尤国才%程双管
王增軍%眭元庚%吳宏飛%王成標%尤國纔%程雙管
왕증군%휴원경%오굉비%왕성표%우국재%정쌍관
目的 总结外伤性肾损伤的诊治体会,提高肾损伤的诊治效果。 方法 回顾分析186例外伤性肾损伤的诊治资料。 结果 186例肾损伤患者中,伴有合并伤76例(40%)。其中保守治疗128例,发生并发症7例;手术治疗32例,其中肾切除20例,切除率63%;肾动脉栓塞治疗26例;死亡12例,死亡率6%。 结论 准确进行伤情评估,严格掌握手术治疗和非手术治疗指征是处理外伤性肾损伤的关键。
目的 總結外傷性腎損傷的診治體會,提高腎損傷的診治效果。 方法 迴顧分析186例外傷性腎損傷的診治資料。 結果 186例腎損傷患者中,伴有閤併傷76例(40%)。其中保守治療128例,髮生併髮癥7例;手術治療32例,其中腎切除20例,切除率63%;腎動脈栓塞治療26例;死亡12例,死亡率6%。 結論 準確進行傷情評估,嚴格掌握手術治療和非手術治療指徵是處理外傷性腎損傷的關鍵。
목적 총결외상성신손상적진치체회,제고신손상적진치효과。 방법 회고분석186예외상성신손상적진치자료。 결과 186례신손상환자중,반유합병상76례(40%)。기중보수치료128례,발생병발증7례;수술치료32례,기중신절제20례,절제솔63%;신동맥전새치료26례;사망12례,사망솔6%。 결론 준학진행상정평고,엄격장악수술치료화비수술치료지정시처리외상성신손상적관건。
Objective To evaluate the management and diagnosis of 186 cases of renal trauma. Methods 186 cases of renal trauma were retrospectively studied. Results 76 cases of 186(40%)were complicated by other organ injuries. 128 cases were managed without surgical intervention and 7 of them had complications. 32 cases were treated by open operation and 20 of them required nephrectomy. 26 cases were treated with selected renal arteriographic embolism. 12 patients died of injury(6%). Conclusions The extent of the injury should be evaluated accurately and quickly.The most important was to decide the treatment strategy,open surgery or not.
