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据本组165例泌尿生殖系战伤分析,肾脏伤占19.3%,输尿管伤占9.6%,膀胱伤占36.9%,尿道伤占18.2%,生殖系统伤占15.6%。在整个泌尿生殖系统伤中,除个别伤员因合并腹腔严重伤或感染而死亡及少数留有后遗症外,绝大部分都获得治愈。泌尿生殖系统损伤,绝大部分都合并有其它脏器伤,如胸腔、腹腔、腰背、盆腔、臀部、会阴部伤等,而且其他脏器伤往往伤情比较重或症状显著,因而常常忽略了泌尿系统战伤的诊断和治疗。 (一) 肾脏伤:肾脏伤共32例,其中1例双肾伤同时合并一侧输尿管断裂,肾切除11例,肾切除率达39.3%。修补13例,漏治2例。切除率过高。火器伤大部在肾的上极或下极,因此大多数肾脏伤都可以经过清创、
According to this group of 165 genitals war injuries analysis, 19.3% of kidney injury, ureteral injury accounted for 9.6%, bladder injury accounted for 36.9%, urethral injury accounted for 18.2%, 15.6% of reproductive system injury. In the entire genitourinary tract, most were cured, except for the individual casualties who died of a severe abdominal injury or infection and a few remaining sequelae. Genitourinary system injury, most of them are combined with other organ injuries, such as the chest, abdomen, back, pelvis, buttocks, perineal injuries, etc., and other organ injuries are often more serious injuries or symptoms, which are often overlooked The diagnosis and treatment of urinary tract injury. (A) kidney injury: a total of 32 cases of kidney injury, including one case of bilateral renal injury combined with ureteral rupture, nephrectomy in 11 cases, the nephrectomy rate of 39.3%. Repair in 13 cases, missed 2 cases. Excision rate is too high. Most of the firearm injuries are on the upper pole or the lower pole of the kidney, so most kidney wounds can undergo debridement,