Percutaneous Drainage of Urinary Extravasation for Acute Renal Injury

以經皮引流術治療急性腎臟外傷之尿液外溢

楊志東(Stone Yuang) ； 林文州(Wen-Chou Lin)

《中華民國泌尿科醫學會雜誌》 3卷4期 (1992/12) Pp. 945-948

https://doi.org/10.7024/JUAROC.199212.0011

摘要

從民國七十七年一月至民國八十年十二月馬偕醫院泌尿科共有四例因腎臟外傷引起之急性尿液外溢，以經皮引流術治療。這四個病例皆因車禍而引起之腎臟外傷，這些病人因在車禍而引起之腎臟外傷，這些病人因在腎臟腎盂攝影檢查都只有少量之尿液外溢，故而皆以抗生素作保守治療。但再三至四日後病人出現腹痛，發燒，畏冷之症狀。腎臟電腦斷層攝影發現有較多量之尿液外溢及血腫。於是我們在超音波之引導下作經皮引流術。經此治療後病人之症狀消退。這些病例皆不須作外科手術治療。經皮引流術是種安全及榮一施行之手術對某些病例向再以保守療法後而產生感染性尿腫及血腫之急性腎臟外傷病人，如此可減少不必要的開刀急過久之住院。

關鍵字

urinary extravasation ； urinoma ； hematoma ； percutaneous drainage

並列摘要

From Jan.1988 to Doc. 1991,for cases of acute urinary extravasation
receuvung Percutaneous drainage are reported hereinafter.
All these cases were adnitted due to traffic accident and blunt trauma of the kidney. Conservative treatments with antibiotics were
given due to small amount of urinary extravasation on IVU examination. But abdominal pain, fever, chillness developed three to five days later. Renal CT scans were performed, which recealed extensive urinary wxtravasation were performed under echo-guidance. Subsequently, those patients did well and symptoms subsided. A further surgical exploration was not necessary for these four cases.
This technique is safe and easy to perform and may be the treatment necessary in selected of acute renal injuries.