CAJ | 학술논문

目的提高肾损伤的诊断和治疗水平.方法回顾性总结150例肾损伤的诊断和治疗效果.结果 B超检查总阳性率95.7%.CT检查141例,阳性率为100%;非手术治疗121例(80.6%),手术治疗29例(19.4%).结论 B超检查的限制条件少,阳性率高,可作为肾损伤的首选检查项目.CT检查对肾损伤的程度能作较准确的判断.对严重肾损伤和开放性肾损伤应及时手术探查,以减少切肾率.
목적 제고신손상적진단화치료수평.방법 회고성총결150례신손상적진단화치료효과.결과 B초검사총양성솔95.7%.CT검사141례,양성솔위100%;비수술치료121례(80.6%),수술치료29례(19.4%).결론 B초검사적한제조건소,양성솔고,가작위신손상적수선검사항목.CT검사대신손상적정도능작교준학적판단.대엄중신손상화개방성신손상응급시수술탐사,이감소절신솔.
Objectives To present an experience of diagnosis and treatment of renal trauma in 150 patients.Methods One hundred and fifty cases of renal trauma were retrospectively analyzed.Results The positive rate of renal injury detected by B-ultra sonography and CT were 95.7% and 100% respectively. One hundred and twenty-one cases were managed conservatively and 29 cases were treated by operation.Conclusions B-ultra sonography which was simple, reliable and harmless to the patients, is the first choice in detecting renal trauma. Accurate diagnosis rate is high with CT scanning. Surgical management is indicated in cases of severe injured kidney and open renal injury, and increase the opportunities for retaining kidney.