摘要
目的提高自发性肾破裂的诊治效果。方法对１９例自发性肾破裂进行回顾性分析。结果Ｂ超检查１９例，ＣＴ检查１３例。肾包膜下积血３例，对症治疗痊愈。肾周及肾旁出血１６例，其中肾癌４例，肾错构瘤７例，肾结石１例，肾炎及传染性疾病致肾脏肿大破裂４例。结论Ｂ超、ＣＴ是最有价值的检查手段，根据病因确定治疗方案，急性期不能明确病因及凝血机制障碍者可定期随访观察。
Objective To present 19 cases of spontaneous kidney rupture. Methods The diagnosis and therapeutic outcomes of 19 cases of spontaneous kidney rupture were reviewed. Results B ultrasonography were performed in all the 19 cases and CT scan in 13.Peri or para renal hemorrhage was observed in 16 cases and subcapsular hematoma in the other 3.There were 4 cases of renal cell carcinoma,7 angiolipoleiomyoma,1 cases of kidney stone and 4 cases of nephritis or infectious diseases.The patients were healed up on careful watching,antibiotics and symptomatic management. Conclusions Ultrasonography and CT scan were the most valuable in the diagnosis of kidney rupture.If possible and there was no disorders in clotting mechanism,spontaneous kidney rupture could be managed by symptomatic treatment and careful watching instead of open surgery.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第4期214-216,共3页
Chinese Journal of Urology
