Aim. To improve the results of diagnosis and treatment of victims with injuries of the abdominal cavity and kidneys with combined trauma.Material and methods. The study included 66 patients with closed kidney injury with combined trauma hospitalized in the Namangan branch of the RNCEMP in the яperiod 2013–2020, of whom 48 (72.7%) were men and 18 (27.3%) were women, aged 10 to 62 years. Kidney damage was determined taking into account the clinical picture and the results of ultrasound, MSCT and contrast urography. When determining the severity of kidney injury, the American Association of Surgical Trauma (AAST) kidney injury scale was followed.Results. Conservative treatment as monotherapy was carried out by 36 (54.5%) victims. Isolated kidney damage was detected in 24 (36.4%) and combined – in 42 (63.6%) of the victims. Left-sided kidney injury was noted more often (54.5%) than right-sided (45.5%). In case of damage of III–IV degree with rupture or crushing of the renal parenchyma in 30 patients, the following surgical interventions were performed: lumbotomy with suturing of the kidney wound in 9 patients, nephrectomy – 11. With laparotomy, nephrectomy was performed in 2 patients, revision of paranephral tissue, removal of hematoma in 3 patients. During the revision of the paranephral hematoma, a rupture of the left renal vein was revealed in one victim, which was sutured by a team of angiosurgeons.
| Mualliflar | А.М. Хаджибаев, Т. А. Вервекина, У.Р. Камилов, А.Д. Фаязов, О.С. Чарышникова |
|---|---|
| Jurnal | Shoshilinch tibbiyot axborotnomasi |
| Nashr sanasi | 2023-01-01 |
| Jild | 16 |
| Son | 2 |
| Til | en |
| DOI | 10.54185/tbem/vol16_iss2/a6 |
DOI: 10.54185/tbem/vol16_iss2/a6 · Maqolaning asl sahifasi
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