小節的醫學筆記

Grade

Injury Descript

Urethrographic Appear

Treatment

Grade I

Contusion

Periureteral hematoma

Observation

Grade II

Stretch injury

Laceration <50% of circumference周長

Conservative management with suprapubic or urethral catheterization

Grade III

Partial disruption

Laceration >50% of circumference周長

Conservative management with suprapubic or urethral catheterization

Grade IV

Complete disruption

Complete tear <2 cm devascularized斷小於2cm

Endoscopic urethroplasty

Grade V

Complete disruption

Complete tear >2cm devascularized斷大於2cm

Endoscopic urethroplasty

Ref.  (1) Moore EE et al. Organ injury scaling. Surg Clin North Am. 1995;75(2):293‐303.

 (2) Moore EE et al. Scaling system for organ specific injuries. American Association for the Surgery
 of Trauma. https://www.aast.org/library/traumatools/injuryscoringscales.aspx#ureter. 2020/06/01.

記憶法：

1. Grade 5是完全斷裂，斷裂長度大於2公分。Grade 4是小於2公分。

2. Grade 1只是輸尿管有瘀血，還沒有撕裂。

3. Grade 2是撕裂<50%的周長。Grade 3是撕裂>50%的周長。