[Clinical study on renal trauma].
We analyzed 26 cases of renal trauma, which occurred during the last 7 years and 6 months. Computed tomography was performed in all cases. Four cases were of type Ib, 13 cases of type II, 3 cases of type IIIa, 5 cases of type IIIb and 1 case of type IVa, according to the classification of renal injury by the Japanese association for the surgery of trauma. Conservative treatment was done in 21 cases, selective transcatheter arterial embolization (TAE) in 4 cases, and surgical treatment in 1 case. Conservative treatment was effective for type I and II renal trauma. In the cases of type IIIa and IIIb renal trauma, open surgery could be avoided and the affected kidney preserved by early TAE.
Division of Urology Shizuoka Hospital, Juntendo University school of Medicine.
Hirohito
H
Kobayashi
Kazuhiko
K
Fujita
Kentaro
K
Imaizumi
Taiki
T
Mizuno
Makoto
M
Fujime
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001510:Bed Rest / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000706:statistics & numerical data; D011379:Prognosis; D015599:Trauma Severity Indices