自发性肾破裂的临床诊治分析  

Clinical diagnosis and management of spontaneous kidney rupture

作　　者：葛南[1] 孙文东[1] 许纯孝[1] 张怀强[1] 宋鸿彬[1] 孟彦[1] 

机构地区：[1]山东大学第二医院泌尿外科,山东济南250033

出　　处：《山东大学学报（医学版）》2006年第1期82-85,共4页Journal of Shandong University:Health Sciences

摘　　要：目的:探讨自发性肾破裂的病因、临床诊断及治疗。方法:回顾分析5例患者临床资料,结合文献进行讨论。结果:4例患者急性发病,B超及CT证实有肾周出血,同时发现肾脏肿瘤,肿瘤内可见脂肪密度,最终行开放手术治疗。1例症状不典型,辅助检查证实左肾被膜下积液,逆行造影检查见左侧肾盂中上盏处有少量造影剂溢出,行患肾双J管置入术,4周后复查被膜下积液完全吸收。结论:肾血管平滑肌脂肪瘤是引起自发性肾破裂最常见的病因,B超及CT有重要的诊断价值,其治疗主要根据原发病的诊断及出血情况。Objective： To investigate the cause, diagnosis and management in patients with spontaneous kidney rupture. Methods： The clinical data of 5 cases with spontaneous kidney rupture were retrospectively analyzed. Results： B-ultrasonography and CT scanning showed perirenal hemorrhage and tumor in the kidney in g cases, of whom 2 underwent open surgery, and showed subcapsular hematoma in 1 case who was performed cystoscopy and retro urography which showed extravasation of contrast medium in subcapsular regions, suggesting pelvicalyceal rupture, and was inserted a double-J stent. Conclusion： Angiomyolipoma of kidney is the main cause for spontaneous kidney rupture. B-uhrasonography and CT scanning have important value for diagnosis. The management depends on the diagnosis of original diseases and the condition of bleeding.

关 键 词：肾破裂 自发性 出血 

分 类 号：R737.11[医药卫生—肿瘤]