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闭合性肾损伤62例临床分析
引用本文:张彩霞,胡礼泉,郑新民,李世文. 闭合性肾损伤62例临床分析[J]. 中国综合临床, 2003, 19(2): 178-179
作者姓名:张彩霞  胡礼泉  郑新民  李世文
作者单位:430071,武汉,武汉大学中南医院泌尿外科
摘    要:目的探讨闭合性肾损伤的诊断和治疗方法。方法回顾分析 62例闭合性肾损伤的临床资料。结果血尿 60例(96.8% )。静脉尿路造影术 (IVU)检出率为 71.0 % ,B超检出率为 85 .4% ,CT检出率为 10 0 %。保守治愈 5 2例 ,手术治愈 7例 ,选择性肾动脉栓塞治愈 3例。结论尿液检查和B超检查快速安全无损伤 ,CT检查准确率高。治疗方法取决于肾损伤程度、范围及合并伤情况

关 键 词:创伤和损伤    影像学检查
文章编号:1008-6315(2003)02-0178-02
修稿时间:2002-09-18

Clinical analysis of 62 cases with close renal injury
Zhang Caixia,Hu Liquan,Zheng Xinmin,et al.. Clinical analysis of 62 cases with close renal injury[J]. Clinical Medicine of China, 2003, 19(2): 178-179
Authors:Zhang Caixia  Hu Liquan  Zheng Xinmin  et al.
Affiliation:430071 Wuhan
Abstract:Objective To evaluate the diagnosis and treatment of close renal injury.Methods 62 cases of close renal injury were reviewed retrospectively.Results Hematuria occurred in 60 cases(96.8%).71.0% of the patients could be found by intravends urography(IVU),85.4% by B ultrasonography,and 100% by CT.52 cases were cured by conservative treatment,7 cases by operation and 3 cases by selective renal artery embolization.Conclusion Urine inspection and B ultrasonography are quick,safe and harmless in examining the patients.CT scanning is highly accurate in diagnosis.Therapy depends on the degree and area of renal injury and the conditions of the coexistent injuries.
Keywords:Wounds and injuries of kidney  Imagining examination
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