肾损伤的诊断和处理(附185例报告)

Diagnosis and treatment of renal injury (Report of 185 cases)

目的 提高肾损伤的诊疗水平。方法 分析185例肾损伤的临床资料并结合文献讨论本病的诊断和治疗。结果 B超检查128例,105例有异常表现(82％),IVU检查阳性56/72例(77.8％)CT检查阳性68/68例(100％),非手术治愈156例(84.3％)手术治愈24例(13％),选择性肾动脉栓塞治愈2例(1.1％)。结论 B超检查快速安全无损伤,可初步判断肾损伤情况,CT检查准确率高,并能同时了解其他脏器损伤的程度,治疗取决于肾损伤的程度,保守治疗是重要的治疗方法。

Objective To inprove the diagnosis and treatment of renal injury. Methods Clinical data of 185 cases of renal injury were discussed in combination with the relevant literature. Results Aberant finding rwer observed on B- ultrasonography in 105 out of 128(82%),on IVU in 56 out of 72(77.8%)and on CT scan in 68 out of 68(100%), 156 patients(84.3%) were cured by conservative treatment, 24 casrs (13%)cured by operation and 2 cases( 1.1 % cured by embolism of selective renal artery. Conclusions B - ultrasonography was simple.instant,reliable and harmless method for the primary evaluation of renal injury.The diagnostic accuracy is high with CT scan and is helpful in detecting any coexistent injuries,The treatment of renal injury depends on the degree of renal injury, conservative treatment os an importment method.