CAJ | 학술논문

目的：总结闭合性肾损伤的诊断与治疗。方法回顾性分析168例闭合性肾损伤患者的诊治资料。结果168例均行尿液常规检查，血尿149例(88.7%)；B 超检查154例，阳性131例(85.1%)；CT检查118例，阳性118例(100.0%)，静脉尿路造影(IVU)检查28例，阳性19例(67.9%)；保守治疗132例(78.6%)，手术36例(21.4%)，治愈165例，死亡3例。其中106例随访12~60个月，尿常规、肾功能、血压表现正常。结论闭合性肾损伤初步检查首选B超， CT评估肾损伤程度和分型最准确，如无严重腹腔脏器并发伤， CT检查和血流动力学指标改变表现严重时也有较大的保守治疗的可能性。
목적：총결폐합성신손상적진단여치료。방법회고성분석168례폐합성신손상환자적진치자료。결과168례균행뇨액상규검사，혈뇨149례(88.7%)；B 초검사154례，양성131례(85.1%)；CT검사118례，양성118례(100.0%)，정맥뇨로조영(IVU)검사28례，양성19례(67.9%)；보수치료132례(78.6%)，수술36례(21.4%)，치유165례，사망3례。기중106례수방12~60개월，뇨상규、신공능、혈압표현정상。결론폐합성신손상초보검사수선B초， CT평고신손상정도화분형최준학，여무엄중복강장기병발상， CT검사화혈류동역학지표개변표현엄중시야유교대적보수치료적가능성。
Objective To summarize the diagnosis and treatment of closed renal injury.Methods A retrospective analysis was made on the diagnosis and treatment data of 168 patients of closed renal injury. Results Conventional urinalysis was applied in all the cases, and there were 149 cases with hematuria (88.7%). B ultrasound examination was taken in 154 cases, and there were 131 positive cases (85.1%). CT examination of 118 cases showed there were 118 positive cases (100.0%). Intraudio videoenous urography was applied in 28 cases, and there were 19 positive cases (67.9%). There were 132 cases received conservative treatment (78.6%), 36 cases underwent surgery (21.4%), and 165 cases healed, with 3 cases died. The follow-up lasted for 12~60 months in 106 cases, and urinalysis, renal function, and blood pressure were all normal.Conclusion B ultrasound should be considered as the first choice in diagnosis of closed renal injury. Kidney damage degree and types are evaluated accurately by CT. If there is no severe abdominal organ concurrent injury, there is also the chance of conservative treatment under severe degree of CT and hemodynamic indexes.