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闭合性肾损伤的CT诊断
引用本文:刘星 孔凡彬 陈惠海 黄建伟 甄欣. 闭合性肾损伤的CT诊断[J]. 实用临床医学(江西), 2004, 5(4): 123-124
作者姓名:刘星 孔凡彬 陈惠海 黄建伟 甄欣
作者单位:徐州市第一人民医院泌尿外科 江苏徐州221002(刘星,孔凡彬,陈惠海,黄建伟),徐州市第一人民医院泌尿外科 江苏徐州221002(甄欣)
摘    要:目的:探讨CT对确定闭合性肾损伤范围和手术指征方面的价值。方法:分析了88例闭合性肾损伤病人的CT表现和临床治疗过程。结果:CT清晰显示肾损伤的三种基本类型:挫伤、裂伤、梗塞,确定血肿和尿外渗的范围.检出胸、腹腔和腹膜后合并损伤及肾脏原有异常。结论:手术探查的CT指征是:大裂伤伴包膜外尿外渗、反复出血不止、无血供肾断片、碎裂肾和血管损伤、严重合并伤。

关 键 词:肾 损伤 血肿 尿外渗 CT
文章编号:1009-8194(2004)04-0123-02
修稿时间:2003-10-24

Diagnoses of Blunt Renal Trauma by Computerized Tomography
Liu Xing,Kong Fan bin,Chen Hui hai,Huang Jian wei,Zhen Xin. Diagnoses of Blunt Renal Trauma by Computerized Tomography[J]. Practical Clinical Medicine, 2004, 5(4): 123-124
Authors:Liu Xing  Kong Fan bin  Chen Hui hai  Huang Jian wei  Zhen Xin
Abstract:Objective:To assess the value of computerized tomography for staging renal injuries and indicating surgical intervention.Methods:The CT finding and treatment of 88 patients with renal trauma were analyzed.Results:CT could clearly define the 3 basic types of renal injury: contusion,laceration and infarction;and define the extents of hematoma and urine extravasation; reveal various injuries in other viscera as well as originally existing abnormalities.Conclusion:Surgical indications suggested by CT include major laceration with extracapsular extravasation,big devascularized kidney segment, fragmented kidney,severe renal vascular injuries and other major surgical complications.
Keywords:kidney  trauma  hematoma  extravasation  CT
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