150例肾损伤的诊断与治疗  

Diagnosis and treatment of renal trauma in 150 cases

作　　者：谢锦来[1] 李励献[1] 罗立君[1] 谢建兵[1] 林国伟[1] 黄宏双[1] 

机构地区：[1]莆田学院附属医院泌尿外科,福建351100

出　　处：《国际泌尿系统杂志》2008年第6期730-731,共2页International Journal of Urology and Nephrology

摘　　要：目的提高肾损伤的诊断和治疗水平。方法回顾性总结150例肾损伤的诊断和治疗效果。结果B超检查总阳性率95．7％。CT检查141例，阳性率为100％；非手术治疗121例（80．6％），手术治疗29例（19．4％）。结论B超检查的限制条件少，阳性率高，可作为肾损伤的首选检查项目。CT检查对肾损伤的程度能作较准确的判断。对严重肾损伤和开放性肾损伤应及时手术探查，以减少切肾率。Objectives To present an experience of diagnosis and treatment of renal trauma in 150 patients. Methods One hundred and fifty cases of renal trauma were retrospectively analyzed. Results The positive rate of renal injury detected by B - ultra sonography and CT were 95.7% and 100% respectively. One hundred and twenty - one cases were managed conservatively and 29 cases were treated by operation. Conclusions B - ultra sonography which was simple, reliable and harmless to the patients, is the first choice in detecting renal trauma. Accurate diagnosis rate is high with CT scanning. Surgical management is indicated in cases of severe injured kidney and open renal injury, and increase the opportunities for retaining kidney.

关 键 词：肾损伤 诊断 治疗 CT检查 

分 类 号：R692[医药卫生—泌尿科学]