摘要
目的：探讨重度肾损伤的切肾原因，提高保肾率。方法：对 ５８ 例重度肾损伤作肾切除者进行回顾性分析。结果：肾碎裂伤、横断伤、肾蒂伤 ２２ 例（３７．９％ ），肾全层裂伤３３ 例（５６．９％ ），病理性肾损伤３ 例（５．２％ ）。结论：患者损伤程度重、全身状况差、有合并伤及延迟手术是构成肾切除的主要原因；积极改善患者全身状况，正确估计损伤的病理类型，尽早修复肾脏裂口，对非手术治疗效果不佳者，争取在 ７２ ｈ 内手术探查，是减少重度肾损伤切肾率的关键。
Purpose: To evaluate the reasons for renal removal of severely injured kidney and increase the opportunities for retaining kidney. Methods: 58 cases of renal removal of severe renal injuries were analyzed retrospectively. Results: 22 cases were smashing injury, amputation, renal pedicale injury( 37.9 %). 33 cases were disruption, renal pedicle injury(56.9%). 3 cases were pathological renal injury (5.2%). Conclusions: The main causes of the renal removal consist of intensive injury, extremely poor general statues, complicated injuries and operation delay. The reduction of renal removal chances depends on the efforts of improving patients′s general statues actively, accurate estimation of pathological injury types, repairing the breakage timely, and operative exploration within 72 hours, if the general statues of patients don′t improve obviously after conservative treatment.
出处
《临床泌尿外科杂志》
1999年第8期333-335,共3页
Journal of Clinical Urology
关键词
肾损伤
肾切除术
病理类型
Renal injuries Nephrectomy Pathological type
