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手术治疗62例肾脏损伤的回顾性分析
引用本文:陈宝琨,刘为安. 手术治疗62例肾脏损伤的回顾性分析[J]. 中国医师进修杂志, 2000, 23(3): 21-22
作者姓名:陈宝琨  刘为安
作者单位:福建医科大学附属第二医院,泌尿外科,福建,泉州,362000
摘    要:目的探讨肾脏损伤手术治疗的适应症、手术时机和手术方法。方法对行手术治疗的62例肾脏损伤者进行回顾性分析。结果肾切除率56.45%,部分肾切除加肾修补术17.74%,单纯肾修补术占9.63%,其他保肾治疗12.90%,死亡1例。结论对开放性肾损伤、有隐匿性病灶的肾损伤和严重肾损伤者应及早手术治疗,并尽量行保肾治疗,如肾部分切除、肾修补术及带蒂大网膜肾包绕术等。

关 键 词:肾损伤;手术
文章编号:1002-0764(2000)03-0021-02
修稿时间:1999-12-06

ANALYSES OF SURGICAL TREATMENT IN 62 CASES OF RENAL INJURIES
CHEN Bao-kun,LIU Wei'an. ANALYSES OF SURGICAL TREATMENT IN 62 CASES OF RENAL INJURIES[J]. Chinese Journal of Postgraduates of Medicine, 2000, 23(3): 21-22
Authors:CHEN Bao-kun  LIU Wei'an
Abstract:Objective:To study the indication,the chance and the methods of renal injuries operation.Methods:62 cases of renal injuries operation were reviewed.Results:The rate of nephrectomy was 56.45%,the rate of renal repair and partial nephrectomy was 17.74%,the rate of only renal repair was 9.68%,other operation of preserved kidney 12.90%,1 cases died.Conclusions:It must be operated early in the opening renal injuries,pathagenic renal injuries and severe renal injuries.The renal repair,partial nephrectomy and wrappring a lacerated kidney with pedicled omental grat must be doing as many as possibl.
Keywords:renal injuries   operation
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