摘要
目的：探讨肾损伤的诊断与治疗。方法：报告肾损伤 １４６ 例，其中闭合性损伤 １４０ 例（９５．９％ ），开放性损伤６ 例（４．１％ ）；合并伤３３ 例（２２．６％ ）。 Ｂ超检查６８ 例， Ｃ Ｔ 检查１６ 例， Ｉ Ｖ Ｕ 检查１３ 例。非手术治疗１１４ 例（７８．１％ ），手术治疗３２ 例（２１．９％ ）。结果： Ｂ超阳性率８６．８％ ， Ｃ Ｔ 阳性率１００％ ， Ｉ Ｖ Ｕ 阳性率６９．２％ ；非手术治愈１１４ 例，手术治愈３０ 例。结论： Ｂ超检查最便捷，可初步判断肾脏伤情。 Ｃ Ｔ 检查准确快速，增强后可观察双肾功能状况，对治疗有重要帮助。其治疗主要取决于肾脏伤情，保守治疗是重要的治疗方法。
Purpose:To evaluate the diagnosis and therapy methods of renal injury. Methods:146 cases of renal injury were reviewed. Of which 140 cases were close renal injury (95.9%), 6 cases open renal injury (4.1%) and 33 cases combined injury (22.6%). 68 cases were examined by B ultrasonography, 16 cases by CT and 13 cases by IVU. 114 patients were treated conservatively and 32 cases underwent operation. Results: The diagnostic positive rate of B ultrasonography, CT and IVU was 86.8%, 100.0% and 69.2% respectively. 114 patients were cured by conservative treatment and 30 cases cured by operation. Conclusions: B ultrasonography was reliable and simple method for the primary evaluation of renal injury. However, CT was more rapid and accurate. Contrast CT showed renal function and indicated treatment. The treatment of renal injury depends on the condition of renal injury, conservative treatment is an important method.
出处
《临床泌尿外科杂志》
1999年第8期331-332,共2页
Journal of Clinical Urology
关键词
肾损伤
B超
CT
保守治疗
诊断
外科手术
Renal injury B Ultrasonography Computed tomography Conservative treatment Operative method
