控制肾血管的肾脏重建治疗重度肾外伤(附15例报告)

Kidney reconstruction through vascular control for serious renal trauma

目的 :提高肾外伤手术治疗的肾单位保存率。方法 :采用早期控制肾血管 ,必要时阻断肾血管重建伤肾的方法 ,治疗重度肾外伤 15例。结果 :5例行肾修补术 ,4例行肾部分切除术 ,2例行肾静脉修补术 ,4例行肾切除术 ,肾切除率 2 6 .3%。结论 :控制肾血管的肾脏重建术能有效减少肾脏切除率 ,是手术治疗肾外伤的理想方法。

Purpose:To improve kidney reconstruction for renal trauma.Methods:15 cases of serious renal trauma have been treated through vascular control.Results:Among them, 5 patients underwent renal repair, 4 nephrectomy, 4 partial nephrectomy, 2 renal vascular repair. A ratio of renal resection is 26.3 %. Kidney reconstruction through vascular control can decrease the ratio of nephrectomy in renal trauma.Conclusions:Through renal vascular control can decrease ratio of nephrectomy in renal trauma.