摘要
目的探讨CT检查对急性肾脏出血的诊断价值。方法回顾分析 34例经CT检查并经手术病理结果和临床最后诊断证实的急性肾脏出血。结果本组中肾血管平滑肌脂肪瘤并出血 8例 ,肾癌 5例 ,肾外伤出血 4例 ,出血性囊肿 3例 ,肾脏动脉瘤破裂出血 2例 ,肾结核 2例 ,肾结石 3例 ,腰椎软骨肉瘤侵犯肾脏 1例 ,系统性红斑狼疮性肾炎 1例 ,门脉高压症 1例 ,原因不明的肾盂内血块堵塞 4例 ,保守治疗成功。结论在急性肾脏出血时 ,CT对确定出血范围和检出病因颇有实用价值 ,是首选检查方法。
Objective To assess the clinical application of CT scan in the diagnosis of acute renal hemorrhage. Methods 34 patients suffered from acute renal hemorrhage diagnosed by CT scan were reviewed and the CT manifestations were checked with the surgico-pathologic diagnosis.Results There were 8 renal angiomyolipoma with hemorrhage, 5 reanl cell carcinoma, 4 renal trauma, 3 bleeding cysts, 2 ruptured arterio-venous fistula of the renal sinus, 2 renal tuberculosis, 3 nephrolithiasis, 1 chondrosarcoma, 1 SLEwith nephritis, 1 portal hypertension and 4 intrapelvic hematoma without clear cause.Conclusion CT is the modality of first choice for diagnosis of acute renal hemorrhage. The location and quantity of bleeding could be easily defined.
出处
《咸宁学院学报（医学版）》
2004年第2期107-109,共3页
Journal of Xianning Univarsity(medical Sciences)
