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首页> 外文期刊>Nature reviews. Urology >Diagnosis and management of urinary extravasation after high-grade renal trauma
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Diagnosis and management of urinary extravasation after high-grade renal trauma

机译：高档肾创伤后泌尿前进性的诊断和管理

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Renal trauma research has historically focused on parenchymal injuries and the risk of bleeding. However, much less is known about the diagnosis and optimal management of urinary extravasation, which complicates similar to 30% of high-grade renal injuries. Immediate or delayed ureteral stenting is the most common procedure used to treat collecting system injuries when intervention is needed. However, the lack of evidence-based guidelines leaves the diagnosis and management of urinary extravasation largely dependent upon physicians' experience, initial and follow-up imaging protocols, and the definitions used for grading the injuries. The knowledge gaps in the management of urinary extravasation that need to be addressed include the timing of excretory-phase CT imaging, patterns of clinically significant urinary extravasation, predictors of complications when urinary extravasation occurs, protocols for obtaining and interpreting follow-up imaging, and the role of ureteral stenting and other interventions in management. To improve the management of urinary extravasation after high-grade renal trauma, large, multi-institutional prospective trails assessing different diagnostic and therapeutic protocols are needed.
机译：肾创伤研究历史上专注于实质伤害和出血的风险。然而，关于泌尿外渗的诊断和最佳管理是更少的更少的，这使得类似于高档肾损伤的30％。立即或延迟的输尿管支架是最常见的过程，用于在需要干预时治疗收集系统损伤。然而，缺乏基于证据的指导方针留下了尿俗的诊断和管理在很大程度上取决于医生的经验，初始和后续成像协议以及用于评级伤害的定义。需要解决的泌尿前进外向管理中的知识差距包括排泄阶段CT成像的时序，临床上显着的泌尿前进模式，当发生尿俗时，并发症的预测因子，用于获得和解释后续成像的协议，以及输尿管支架和其他干预措施在管理中的作用。为了改善高档肾创伤后的泌尿前进性的管理，需要评估不同诊断和治疗方案的大型多机构前瞻性路径。

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