肾损伤的诊断与治疗(附41例分析)

Diagnosis and treatment of renal trauma(41 cases reports attached)

目的探讨肾损伤的诊断和治疗方法。方法分析41例肾损伤临床资料,其中闭合性损伤38例,开放性损伤3例,合并其它脏器损伤16例。肉眼血尿者38例,镜下血尿者3例。本组均行B超、CT检查,静脉尿路造影(IVU)18例,阳性率分别为93.8%、100%、94.4%。结果非手术治愈36例,手术肾切除治愈5例,41例痊愈出院。结论CT检查准确率高、快速、无损伤,可判断肾损伤程度,应作为肾损伤的首选检查方法,对严重肾损伤及时手术探查。

Objective To evaluate the diagnosis and therapy methods of renal injury. Methods 41 cases of injuries were analyzed,of which 38 eases were closed renal injury,3 cases open renal injury and 16 eases combined with other injuries. Gross hematuria occurred in 38 cases and microscopic hematuria in 3 cases. The diagnostic positive rate of B-ultrasonography, CT and IVU was 93.8% , 100% and 94.4% respectively. Results 36 eases were treated conservatively,5 cases underwem nephrectomy and all 41 cases were cured. Condusion The CT scanning is harmless, has high diagnostic rate for the patients, and can exactly diagnose renal trauma. It should be the first means for the examination of the patients with renal trauma.