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输尿管枪弹伤相当少见。发病率占所有腹部枪弹伤的2.3～3.1%。作者1981年～1988年7月治疗输尿管枪弹伤16例。男15例,女1例。年龄15～42岁<平均26岁>。16例均获早期诊断,术前IVP确诊和剖腹探查术时确诊各8例。输尿管中段损伤8例,上段4例,下段和膀胱壁内段各2例。15例为手枪子弹伤,1例可能为猎枪爆炸致伤。 10例为前腹部枪弹伤,4例为背部或胁部,2例为臀部。16例均伴有腹腔内损伤:小肠损伤11例,结肠10例,12指肠和肝脏各3例,胃、下腔静脉、髂动脉和直肠各2例,髂静脉、脾、胆囊和肺各1例。6例有其它泌尿系器官损伤:膀胱3例,肾3例(同侧2,对侧1)。
Gunshot wounds are quite rare. The incidence of all abdominal bullet wound 2.3 to 3.1%. Author from 1981 to 1988 July treatment of ureteral gunshot wounds in 16 cases. 15 males and 1 female. Aged 15 to 42 years old (average 26 years old). 16 cases were diagnosed early, preoperative IVP diagnosis and laparotomy were diagnosed in 8 cases. 8 cases of ureter injury in the middle, upper 4 cases, the lower and the bladder wall in 2 cases. 15 cases were pistol bullet wounds, and 1 case was probably injured by a shotgun explosion. Ten cases were anterior abdominal bullet wounds, four were dorsal or threatening, and two were hip. Sixteen cases had intraperitoneal injury: 11 cases of small intestine injury, 10 cases of colon, 3 cases of each of 12 intestine and liver, 2 cases of stomach, inferior vena cava, iliac artery and rectum, 2 cases of iliac vein, spleen, gallbladder and lung 1 case. Six other cases of urinary tract organ damage: 3 cases of bladder, 3 cases of kidney (ipsilateral 2, contralateral 1).