肾创伤的诊断和治疗(附78例报告)

Diagnosis and Treatment of Renal Injury- 78 Cases Report

为提高肾创伤的诊断和治疗水平,分析78例肾创伤的临床诊断和治疗。结果IVU、B超、CT和数字减影血管造影(DSA)检出率分别为44.4％、88.6％、93.7％和100％。52例采用保守治疗,2例采用DSA检查治疗,24例行外科手术治疗。其中76例治愈,2例死亡。认为肾损伤的诊断首先B超或CT,DSA明胶海绵栓塞为肾损伤提供了新的治疗手段。应重视复合性肾损伤及病理性损伤的诊断与治疗。

78 patients with renal injury were analyzed to develop diagnosis ana treatment lever or renal injury. The accurate diagnostic rates of IVU, B-US, CT and DSA were 44.4%, 88.6%, 93,7% and 100% respectively. 52 cases were treated by non-surgical method, 2cases by DSA, 24 cases by surgical method 76 cases among 78 were cured and 2 cases died. It is a first choice method to diagnose renal injury. DSA and gelatin embolism is a new method to treat renal injury. More attentions are mandatory for abnormal kidney and combined injuries with other organs.