Clinical Observations on Dignosis and Management of Renal Injury.
- Author:
Tae Sik CHANG
1
;
Sae Kook CHANG
Author Information
1. Department Urology, Kyungpook National University, School of Medcine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
renal injury
- MeSH:
Angiography;
Classification;
Diagnosis;
Gyeongsangbuk-do;
Humans;
Nephrectomy;
Urography;
Urology
- From:Korean Journal of Urology
1980;21(4):314-321
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Seventy six patients with renal injury admitted to the Department of Urology, Kyungpook National University Hospital during the least 6 and a half years were reviewed with particular attention to diagnosis and management. The injuries in this series were classified as minor, major and critical injuries according to Hodges classification. 32 patients were classified into minor injury, 41 patients into major injury and 3 patients into critical injury. Excretory urography was obtained in 75 patients and renal angiography only in 6 patients. 31 patients with minor injury were treated conservatively. Conservative management was done in 23 of 41 patients with major injury and the remaining 18 patients were managed surgically. 15 of 18 patients treated surgically in major injury were managed with conservative surgery (renorrhaphy in 9, partial nephrectomy in 5 and symphysiectomy in 1) and remaining 3 patients with nephrectomy. In major injury, 7 out of 23 patients treated conservatively and 3 out of 9 patients managed with renorrhaphy required nephrectomy subsequently due to complicating illness.
