Ulus Travma Acil Cerrahi Derg. 2014; 20(2): 132-135 | DOI: 10.5505/tjtes.2014.65392

Çocuklarda künt böbrek travmalarý: 41 olgunun geriye dönük olarak deðerlendirilmesi

Mehmet Emin Balcýoðlu¹, Mehmet Emin Boleken¹, Muazez Çevik¹, Murat Savaþ², Fatýma Nurefþan Boyacý^3
1Harran Üniversitesi Týp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalý, Þanlýurfa
²Harran Üniversitesi Týp Fakültesi, Üroloji Ana Bilim Dalý, Þanlýurfa
³Harran Üniversitesi Týp Fakültesi, Radyoloji Ana Bilim Dalý, Þanlýurfa

AMAÇ
Çocukluk çaðýnda, sýklýkla künt travma sonrasý geliþen böbrek yaralanmalarý nonoperatif olarak baþarýyla tedavi edilebilmektedir. Bu çalýþmada, çocuklarda künt travma sonucu geliþen böbrek hasarý olan hastalar deðerlendirildi.

GEREÇ VE YÖNTEMLER
Bu çalýþmada Ocak 2000 ile Mart 2012 yýllarý arasýnda künt karýn travmasý sonrasý böbrek hasarý nedeniyle çocuk cerrahi servisine baþvuran 41 çocuk hastanýn bilgilerine ulaþýldý. Hasta verileri geriye dönük olarak, demografik karakteristik özellikleri, hastanede kalýþ süresi, travma etkeni, tedavi, ve sonuçlarý açýsýnda deðerlendirildi.

BULGULAR
Olgularýn yaþ ortalamasý 10±4,85 idi. Böbrek hasarý; Grade 1 (n=13), Grade 2 (n=13), Grade 3 (n=6), Grade 4 (n=6), ve Grade 5 (n=3) mevcut idi. Bütün olgular baþlangýçta konservatif olarak takip edildi. Bütün olgulardan 7 olguya cerrahi tedavi uygulandý. Cerrahi tedavi olarak olgulara nefrektomi(n=3), mesane onarýmý(n=1), piyeloplasti(n=1), ileum onarýmý(n=1), ve üretra onarýmý(n=1), yapýldý. Hiçbir olguya geç dönem cerrahi tedavi gerekmedi. Olgulardan hayatýný kaybeden olmadý.

SONUÇ
Çocuklarda böbrek yaralanmalarýnda, konservatif tedavi etkili ve güvenilirdir. Çoðu böbrek hasarý cerrahi gerektirmemesine raðmen, hasarýn derecesine bakýlmaksýzýn hayatý tehdit eden kanamalara cerrahi müdahale yapýlmadýr.

Anahtar Kelimeler: Anahtar Sözcükleri: Böbrek yaralanmasý, çocuk; konservatif tedavi; Künt yaralanma.

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Blunt renal trauma in children: a retrospective analysis of 41 cases

Mehmet Emin Balcýoðlu¹, Mehmet Emin Boleken¹, Muazez Çevik¹, Murat Savaþ², Fatýma Nurefþan Boyacý^3
1Department Of Pediatric Surgery, Harran University, Sanliurfa, Turkey
²Department Of Urology, Harran University, Sanliurfa, Turkey
³Department Of Radiology, Harran University, Sanliurfa, Turkey

BACKGROUND
Renal injuries often related blunt trauma are successfully treated with nonoperatively in childhood. In the present study, patients with renal damage were evaluated to caused by blunt trauma in children.

MATERÝALS AND METHODS
In the present study, between January 2000 and March 2012, medical record of 41 cases were admitted to pediatric surgery related renal injury after blunt abdominal trauma. Cases’ demographic characteristics, duration hospitalization, cause of trauma, treatment, and outcomes were analyzed retrospectively.
RESULTS
The mean age was 10 ± 4,85. Renal damage; Grade 1 (n = 13), grade 2 (n = 13), Grade 3 (n = 6), Grade 4 (n = 6), and Grade 5 (n = 3) were present. All patients were initially treated conservatively. Seven patients were underwent surgical treatment. Surgical treatment was nephrectomy (n = 3), pyeloplasty (n = 1), bladder (n = 1), ileum (n = 1), and urethra repair (n = 1). Surgical treatment was not required in long term in all cases. There was no death.

CONCLUSÝONS
The conservative treatment of pediatric renal injuries is safe and effective. Although the vast majority of renal injuries do not require surgical intervention, life-threatening renal bleeding, regardless of the grade of injury, should be treated with immediate surgery.

Keywords: Renal injury, children; conservative treatment; Blunt trauma.

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ATIF KOPYALA