CAJ | 학술논문

目的探讨闭合性肾脏损伤的诊断与治疗效果.方法回顾性分析129例闭合性肾脏损伤患者的临床资料.结果腰痛或腹痛109例,血尿113例,合并其它损伤81例.B超检查129例,IVU检查37例显示异常者23例,CT 102例.手术探查17例,非手术112例.118例获得随访3～56个月,尿常规、B超、IVU均正常.结论尿液常规、超声检查为首选、快速、安全、无创检查;CT确诊率高,有助于判断肾脏损伤程度、恢复程度以及是否合并其它组织脏器损伤.损伤严重或合并其它脏器损伤者应及时手术探查.
목적 탐토폐합성신장손상적진단여치료효과.방법 회고성분석129례폐합성신장손상환자적림상자료.결과 요통혹복통109례,혈뇨113례,합병기타손상81례.B초검사129례,IVU검사37례현시이상자23례,CT 102례.수술탐사17례,비수술112례.118례획득수방3～56개월,뇨상규、B초、IVU균정상.결론 뇨액상규、초성검사위수선、쾌속、안전、무창검사;CT학진솔고,유조우판단신장손상정도、회복정도이급시부합병기타조직장기손상.손상엄중혹합병기타장기손상자응급시수술탐사.
Objective To evaluate the diagnostic rate and treatment effect of close renal trauma.Methods The clinical data of 129 cases of close renal trauma were analyzed retrospectively. Results Lumbago or bellyache occurred in 109 cases,hematuria 113 cases,coexistent injuries of other organs 81 cases. 129 cases were examined by type B-ultrasonography, 102 cases by CT scan open operation on 17 cases and others were treated non-operatively. 118 cases have been followed up for 3 months to 56 months with normal urine routine and IVU.Conclusions Usually urine inspection and B-ultrasonography were simple,instant reliable and safe. The accurate diagnosis rate was higher with CT scanning,CT scan was helpful in detecting the degree of renal injury and any coexistent injuries,and to estimate the treatment effect. Laparotomy should undertaken for the case of severe injury or with coexistent injuries in rime.