闭合性肾损伤的诊断与治疗（附189例报告）

目的：探讨闭合性肾损伤的诊断和治疗方法，方法；分析报告１８９例前者闭合性肾损伤的临床诊断和治疗情况。结果：Ｂ超ＣＴ检出率分别为８４％和１００％，１８１例采用非手术治疗，肾切除术３例，肾修补术４例，延期尿外渗引流术１ ，全部治愈，无严重并发症，结论：肾损伤的诊断应首选Ｂ超，ＣＴ诊断，分型更为准确，广泛性肾裂伤采用非手术治疗效果良好，功能肾，孤肾损伤应首选肾动脉分枝栓塞，腹膜后血肿超过中线或超过中腹部

DIAGNOSIS AND SURGICAL TREATMENT OF RENAL INJURY

objective: To approch dingnosis and treatment of renal injury. Methods: 189 cases with renal injury were reported 181 cases were treated by non-operative. 3 cases by nephrectomy, 4 cases by renal repaired. 1 case by latter urinoma drainage. Results: The accurate diagnostic rates of renal injury by BUS reached 84%, and by CT 100%, and there were not any serious complications. Conclusions: In renal injury, of all methods BUS should be selected first, but it is more accurate that classifying the renal injury by using CT. It is satisfactory that the method of non-operative therapy of the extensive laceration of kidney is used. Renal artery branch embolism is the first selection when the function's kidney or single kidney is injured. It is necessary that the kidney is exptorated when retro-peritoued bleeding exceeds to the middle lines, or the more middle abdomen.