摘要
目的 探讨肾损伤的诊断、治疗方法。方法 分析 12 6例肾损伤病人的临床资料。在 12 6例中 ,血尿 112例 (88.9% ) ;B超检查 36例 ,有异常改变 2 3例 (6 3.9% ) ;CT检查 70例 ,5 3例表现异常(75 .7% )。根据病情 ,分别选择手术治疗、保守治疗以及肾动脉栓塞等治疗。结果 116例非手术治疗者全部治愈 ;手术治疗 7例 ,6例痊愈 ,1例死于多发伤失血性休克 ;3例经肾动脉栓塞获得满意治疗效果。本组肾损伤治愈率 99.2 %。结论 血尿是诊断肾损伤的重要依据之一。对严重多发伤的病例 ,不论有无血尿 ,应常规进行B超和CT检查。轻中度肾损伤可采用非手术治疗 ,肾动脉栓塞对中度肾损伤疗效确切 ,重度肾损伤应及时手术治疗。
Objective To explore the diagnostic and therapeutic methods of renal injury.?Methods One hundred and twenty six cases of renal injury were studied retrospectively.Hematuria occurred in 112 cases.In 36 cases,23 cases were found to be abnormal by B ultrasonography of the kidney.In 70 cases examined by CT,53 cases were found to be abnormal.?According to trauma severity of each patient,surgical intervention,conservative treatment and selective arteriorenal embolism were used respectively.?Results One hundred and sixteen cases were cured with non surgical intervention.?In 7 cases treated by with surgical intervention,6 cases were cured,1 case died of shock.?Three cases treated by arteriorenal embolism were cured.The cure rate of renal injury was 99.2% in these cases.?Conclusion Post traumatic hematuria is one of the important symptoms for diagnosis of renal trauma. The B ultrasonography and CT scan of abdomen were highly accurate for diagnosis of renal trauma without hematuria in polytrauma patients. The moderate renal injury could be cured by conservative treatment. The therapeutic effect of selected renal arterigraphic embolism for moderate renal injury was fine.
出处
《创伤外科杂志》
2002年第5期290-292,共3页
Journal of Traumatic Surgery
关键词
创伤
肾损伤
血尿
trauma
renal injury
hematuria
