지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.1
- 발행연도
- 2021.7
- 수록면
- 49 - 57 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: Traumatic kidney injury can be treated surgically or nonsurgically. Nonsurgical treatment options include angiography, embolization, and conservative treatment. We aimed to identify factors that help in making clinical decisions on treatment plans for patients with traumatic kidney injury caused by blunt trauma.
Methods: The study included 377 patients aged ≥18 years with traumatic kidney injury caused by blunt abdominal trauma admitted to the emergency room of Wonju Severance Christian Hospital between January 2008 and July 2020. Medical records, laboratory test results, and computed tomography results were retrospectively reviewed.
Results: Multivariable logistic analysis showed diastolic blood pressure at admission and disruption of Gerota"s fascia were significantly associated with surgical treatment, and that perinephric hematoma rim distance was the only significant indicator favoring embolization. Receiver operating characteristic curve analysis showed that angiography and embolization should be considered when hematoma size exceeds 2.97 cm.
Conclusion: When a patient with traumatic kidney injury due to blunt trauma visits an emergency room, even when vital signs are stable, Gerota’s fascia should be checked by computed tomography prior to deciding on surgical treatment, and angiographic embolization should be considered if perinephric hematoma rim distance exceeds 2.97 cm.
Methods: The study included 377 patients aged ≥18 years with traumatic kidney injury caused by blunt abdominal trauma admitted to the emergency room of Wonju Severance Christian Hospital between January 2008 and July 2020. Medical records, laboratory test results, and computed tomography results were retrospectively reviewed.
Results: Multivariable logistic analysis showed diastolic blood pressure at admission and disruption of Gerota"s fascia were significantly associated with surgical treatment, and that perinephric hematoma rim distance was the only significant indicator favoring embolization. Receiver operating characteristic curve analysis showed that angiography and embolization should be considered when hematoma size exceeds 2.97 cm.
Conclusion: When a patient with traumatic kidney injury due to blunt trauma visits an emergency room, even when vital signs are stable, Gerota’s fascia should be checked by computed tomography prior to deciding on surgical treatment, and angiographic embolization should be considered if perinephric hematoma rim distance exceeds 2.97 cm.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (22)
참고문헌 신청
Bretan PN Jr / 1986 / Computerized tomographic staging of renal trauma: 85 consecutive cases / J Urol 136:561~565
Matthews LA / 1995 / The nonoperative approach to major blunt renal trauma / Semin Urol 13:77~82
Wessells H / 2003 / Renal injury and operative management in the United States: results of a population based study / J Trauma 54:423~430
Goff CD / 1998 / Management of renal trauma at a rural, level I trauma center / Am Surg 64:226~230
Nguyen HT / 1995 / Blunt renal trauma: renal preservation through careful staging and selective surgery / Semin Urol 13:83~89
Matthews LA / 1995 / The nonoperative approach to major blunt renal trauma / Semin Urol 13:77~82
Wessells H / 2003 / Renal injury and operative management in the United States: results of a population based study / J Trauma 54:423~430
Goff CD / 1998 / Management of renal trauma at a rural, level I trauma center / Am Surg 64:226~230
Nguyen HT / 1995 / Blunt renal trauma: renal preservation through careful staging and selective surgery / Semin Urol 13:83~89
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UCI(KEPA) : I410-ECN-0101-2021-514-001843862