Din toate leziunile traumatice ale sistemului genitourinar cel mai frecvent intâlnite sunt traumele rinichilor. Tratamentul reuşit al pacienţilor, cu traumatism renal, indică necesitatea aprecierii imagistice a gradului de afectare renală traumatică şi respectarea indicaţiilor pentru exploraţie chirurgicală a rinichiului lezat. Aprecierea rapidă clinică a leziunilor, evaluarea completă imagistică, tratamentul conservativ sau chirurgical selectiv, bazat pe stadializarea şi gradarea traumei renale AAST stau la baza managementului contemporan al traumatismului renal. Acest material este selectat din experienţa de diagnostic şi tratament al acestui grup de bolnavi al Secţiei de Urologie a CNSPMU timp de 5 ani (2004 - 2008), care a inclus 70 cazuri.

Of all injuries to the genitourinary system, injuries to the kidneys from external trauma are the most common. Successful management of patients with renal trauma requires defi nition of the extent of injury and knowledge of the indications for exploration. Rapid assessment of the injuries, complete laboratory and imagistic evaluation and selective treatment approach based on the standard AAST criteria and grading, caused a breakthrough in the management of renal trauma patients. This review is addressed to the approach of imagistic evaluation and treatment of the renal trauma patients and the assessment of the 5 years experience of the Department of Urology and Imagistics of the National Center of Emergency Medicine from Chisinau in management of this group of patients. The 70 cases of treated renal trauma are reviewed.