闭合性肾损伤的诊治体会

目的：总结闭合性肾损伤的诊断与治疗。方法：对86例闭合性肾损伤的临床资料进行回顾性分析。结果：本组86例闭合性肾损伤中，肾挫伤63例，肾裂伤18例，肾粉碎伤5例，并发伤21例。血尿、腰部疼痛是主要的临床症状。保守治疗71例，超选择性肾动脉栓塞术1例，手术治疗14例。死亡3例。结论：B超和CT检查是诊断肾损伤的有效方法，迅速而准确的伤情评估，严格掌握手术时机是治疗闭合性肾损伤的关键。

Diagnosis and treatment of closed renal trauma

Objective: To evaluate the diagnosis and treatment of 86 cases of closed renal traumas. Methods:86 cases of closed renal traumas were studied retrospectively. Results:There were 63 cases of renal contusion, 18 cases of renal laceration, 5 cases of renal multiple major laceration, 21 cases of renal injures complicated by other visceral injuries. Hematuria and flank pain were main symptoms.71patients received conservative treatment,1 case received superselected renal arteriographic embolization,14 patients underwent open operation,and 3 patients died of the injury.Conclusions:Ultrasonography and CT were effective means for the diagnosis of closed renal trauma.It was important for the treatment of closed renal trauma to evaluate the extent of the injury quickly and accurately and to decide the treatment strategy.