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KMID : 0390320120220010049
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Chungbuk Medical Journal
2012 Volume.22 No. 1 p.49 ~ p.54
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Analysis of renal injury: A 10-year experience
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Tchey Dong-Un
Kim Won-Tae
Kim Yong-June
Yun Seok-Joong
Lee Sang-Cheol
Kim Wun-Jae
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Abstract
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Purpose: Renal injury is developed in 10% in abdominal trauma patients and the most common injury in genitourinary systems. We evaluated cause, degrees, and treatment of renal injury in our institution for 10 years.
Materials and Methods: Between February 2000 and June 2010, 59 patients with renal injury were analyzed retrospectively.
Results: The causes of renal injury were 37 (62.7%) patients with traffic accidents, 7 (11.9%) patients with fall-down, 12 (20.3%) patients with traumas, 1 (1.7%) patient with stab wound, and 2 (3.4%) patients with unknown of causes. The degrees of renal injury were 11 (18.6%) patients with grade I, 10 (16.9%) patients with grade II, 20 (33.9%) patients with grade III, 10 (16.9%) patients with grade IV, and 8 (13.6%) patients with grade V. The treatments of renal injury were
conservative treatments in 46 (77.9%) patients, nephrectomy in 5 (8.5%) patients, renal artery embolization in 5 (8.5%) patients, and other treatments in 3 (5.1%) patients.
Conclusions: The causes of renal injury were mainly traffic accidents and trauma, and grade III injuries were most common. Conservative treatments were main treatments but renal artery embolizations were increasing.
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KEYWORD
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Genitourinary tract injury, Renal injury, Renal artery embolization
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