摘要
目的：分析自发性肾破裂致肾包膜下和肾周出血ＣＴ与ＤＳＡ表现，着重讨论其发现肾破裂病因方面的价值。材料与方法：回顾分析２４例自发性肾破裂伴肾周出血患者，２４例全部经ＣＴ检查，３例行ＤＳＡ检查并栓塞治疗，其中２２例经手术病理证实。结果：２４例自发性肾破裂中１９例为肾肿瘤（７９％），其中肾血管平滑肌脂肪瘤１２例（５０％），肾细胞癌７例（２９％）。结论：诊断急性自发性肾破裂出血，ＣＴ是最有价值的检查方法，其病因诊断准确率可达９０％；而ＤＳＡ在寻找血管性病变致肾破裂病因方面优于ＣＴ，并有助于栓塞治疗。自发性肾破裂出血常见原因是肾肿瘤。
Objective: To evaluate the feature of CT and DSA with spontaneous perinephric and subcapsular renal hemorrhage, espeacilly in finding of their etiology.Materials and Methods:24 consecutive patients in which 22 cases were proved surgicopathologicaly with acute spontaneous perinephric renal hemorrhage were examined with CT (n=24), and DSA (n=3) accompanied embolitherapy.Results:Among the 24 cases with perirenal hematoma, renal neoplasms was found in 19(79%), anagiomyolipoma 12 (50%), and renal cell carcinoma 7 (29%). Conclusion: CT is the valuable examination for patients with spontaneous renal hemorrhage and in finding of the cause of hemorrhage about 90%. DSA is superior to CT in evaluation of vascular disease. It is stressed that anagiomyolipoma is the most common cause for spontaneous perinephric renal hemorrhage in China.
出处
《临床放射学杂志》
CSCD
北大核心
1998年第4期220-222,共3页
Journal of Clinical Radiology
