肾损伤的诊断与治疗(附102例报告)  

Diagnosis and Treatment of Renal Trauma:Report of 102 Cases

作　　者：项明峰[1] 李文斌 潘正跃[1] 史子敏[1] 习小庆[1] 邹高德[1] 吴勇[1] 

机构地区：[1]南昌大学第二附属医院泌尿外科,南昌330006 [2]峡江县中医院外科,江西峡江331400

出　　处：《实用临床医学（江西）》2011年第6期35-37,共3页Practical Clinical Medicine

摘　　要：目的探讨肾损伤的诊断和治疗。方法对102例肾损伤患者分别采用保守治疗及行肾修补术、肾切除术、超选择性肾动脉栓塞术等,并观察其疗效。结果 102例患者中,保守治疗72例,肾修补术5例,肾切除术13例,超选择性肾动脉栓塞术12例。治愈99例,死亡3例。结论血尿和腰部疼痛是主要的临床症状。尿液、B超检查应作为诊断肾损伤的常规检查方法,CT检查对肾损伤有重要的诊断价值。治疗方法主要取决于肾脏损伤的类型、伤情程度及复合伤的情况等。Objective To explore the diagnosis and treatment of renal trauma.Methods One hundred and two cases of renal trauma were treated with conservative procedure,renal repair,nephrectomy and super selected renal artery embolization,respectively.The curative effects were observed.Results Among the 102 cases,conservative procedure was performed in 72,renal repair in 5,nephrectomy in 13 and super selected renal artery embolization in 12.Ninety-nine patients were cured and 3 patients died of the injury.Conclusion Hematuria and flank pain are the main clinical symptoms of renal trauma.Urine examination and B-ultrasonography should be the routine methods and CT examination has important diagnosis value for the diagnosis of renal trauma.The therapies mainly depend on the types and extent of renal trauma and the condition of compound wound.

关 键 词：肾损伤 诊断 肾修补术 肾切除术 超选择性肾动脉栓塞术 

分 类 号：R691.6[医药卫生—泌尿科学] R641[医药卫生—外科学]