肾损伤的CT诊断及其临床价值

目的：探讨肾损伤的有效影像诊断方法及其临床指导意义。方法：采用CT检查肾损伤患者52例，并根据其表现分为4类，对I，Ⅱ类肾损伤行保守治疗，对Ⅲ类肾损伤视情况而定，对Ⅳ类肾损伤急诊手术治疗。结果：CT对肾损伤的定位诊断准确率和分类准确率均达100％，结论：CT检查可明确肾损伤的程度，范围及分类，了解伤肾和健肾功能，观察腹部其他脏器情况，具有无创，快速，安全、准确等优点，对临床治疗方案的确定具有重要指导意义。

Diagnosis and clinical value of CT in renal trauma

Purpose:To explore the effective diagnostic methods of renal trauma.Methods:Retrospectively analysis of 52 cases of renal trauma which were diagnosed and classified into 4 grades by means of CT. Its clinical value were also analyzed.Results:The accuracy of classification and qualitative diagnose of CT reached 100%. The patients in grades 1 and 2 were treated conservatively whereas those in grade 4 were operated immediately, and those in grade 3 were treated conservatively or in operation.Conclusions:CT scan can determine the degrees, scopes, and classification of renal trauma, make clear the functions of both the injured and the other kidneys. It has some advantages such as quickness, safeness, noninvasion and preciseness. These advantages are important guidance to clinical treatments.