收藏系统损伤与IV级脏突击创伤是否总是需要尿路干预?
Po-Ting Lin1, Yu-Hsiang Lin1,2, Yu-San Tee3
1Division of Urology, Department of Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
World journal of urology
|January 8, 2024
概括
在初始创伤计算机断层扫描 (CT) 扫描中,周围质的厚度小于25毫米,预测了需要尿路干预的可能性很低,因为的损伤与采集系统的参与.
科学领域:
- 放射学 放射学是一门学科.
- 创伤外科 手术 创伤外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 随着收集系统的参与而导致的损伤可能需要尿干预.
- 预测干预的必要性对于最佳的患者管理至关重要.
研究的目的:
- 为了确定预测需要尿干预的特征,在不的损伤与收集系统的参与尿干预.
- 在此预测中评估计算机断层扫描 (CT) 对创伤协议的实用性.
主要方法:
- 在患者的腹部CT扫描 (2016-2020年) 的回顾性审查.
- 排除了轻度创伤,非收集系统损伤,V级脏和新出现的切除术.
- 在CT和ROC曲线分析上测量最大的围质量厚度,以确定切割值.
主要成果:
- 周围质厚度<25毫米与尿干预率显著降低相关 (0%与5%相比,p=0.023).
- 超过90%的较小的围质量 (<25毫米) 得到解决,而较大的质量 (≥25毫米) 的近一半.
- 两组之间随访时间没有显著差异.
结论:
- 最初的CT创伤协议有效地预测了在收集系统损伤时需要进行尿干预的需要.
- 在CT上周围质厚度<25毫米是需要尿干预的可能性很低的强有力的预测指标.
相关概念视频
Disorders of the Urinary System
314
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
314
Introduction to Urinary System
2.6K
The urinary system consists of two kidneys, two ureters, the urinary bladder, and the urethra.
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
2.6K
Dialysis
319
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
319
Factors Affecting Renal Clearance: Renal Impairment
95
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
95
Physiology of Urine Formation
4.1K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
4.1K
Renal Corpuscle
2.2K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
2.2K


