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39例闭合性肾损伤诊疗体会
引用本文:邵怀卿,祖林先,赵俊峰. 39例闭合性肾损伤诊疗体会[J]. 河南职工医学院学报, 2009, 21(5): 452-453
作者姓名:邵怀卿  祖林先  赵俊峰
作者单位:巩义市人民医院泌尿外科,河南,巩义,451200;郑州市中心医院泌尿外科,河南,郑州,450052
摘    要:目的探讨闭合性肾损伤的诊断和治疗的注意事项,提高对闭合性肾损伤的认识,达到早期诊治并了解影响预后的因素。方法回顾分析1999—2008年39例闭合性肾损伤患者的临床资料。结果39例全部治愈,其中保守治疗28例,11例行开放手术;随访1—4a,所有患者均无并发症。结论闭合性肾损伤的诊断并不困难,B超和CT是发现闭合性肾损伤的主要手段,目前的治疗是安全的。

关 键 词:肾损伤  诊断  治疗

Diagnosis and Treatment of Blunt Renal Trauma
SHAO Huai-qing,ZU Lin-xian,ZHAO Jun-feng. Diagnosis and Treatment of Blunt Renal Trauma[J]. Journal of Henan Medical College For Staff and Workers, 2009, 21(5): 452-453
Authors:SHAO Huai-qing  ZU Lin-xian  ZHAO Jun-feng
Affiliation:1. Department of Urology, Gongyi People's Hospital, Gongyi Henan 451200, China; 2. Department of Urology, Zhengzhou Central Hospital, Zhengzhou Henan 450007, China)
Abstract:Objective To explore the diagnosis and treatment of blunt renal trauma for more acknowledge in attempt to provide evidence for its early diagnosis, effective treatment and to study the prognosis. Methods The clinical data in 39 cases with blunt renal trauma from 1999 to 2008 were analyzed retrospectively. Results All the patients had fully recovered. Among 39 cases, 28 cases received expectant treatment and 11 were given open operation and were followed-up for 1- 4 years. There were no serious complications found in all patients. Conclusion Diagnosis of blunt renal trauma is not difficult, ultrasonography and CT are the leading diagnostic technique for blunt renal trauma. Treatment of blunt renal trauma is effective and safe.
Keywords:renal trauma  diagnosis  treatment
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