论文部分内容阅读
目的总结分析49例闭合性肾脏损伤的CT征象,探讨CT分型的临床价值。方法对闭合性腰部或腹部创伤患者行多层螺旋CT平扫和增强扫描,分析肾脏损伤或合并邻近脏器复合性损伤患者的CT征象。结果根据肾损伤的部位、范围和程度可将CT表现分为五型:Ⅰ型,单纯肾包膜下血肿,7例;Ⅱ型,肾实质局灶性挫伤,13例;Ⅲ型,肾实质广泛挫裂伤伴肾筋膜囊内血肿,16例;Ⅳ型,肾挫裂伤伴肾筋膜外血肿,11例;Ⅴ型,肾蒂撕裂伤,2例。结论CT能清楚显示肾损伤的范围、程度以及有无邻近脏器损伤,CT分型能为临床选择治疗方案提供重要依据。
Objective To summarize and analyze the CT features of 49 cases of closed kidney injury and discuss the clinical value of CT classification. Methods The patients with closed or traumatic abdominal trauma were examined by multi-slice spiral CT plain scan and enhanced scan to analyze the CT signs of kidney injury or patients with combined injury of adjacent organs. Results According to the location, extent and extent of renal injury, CT findings were classified into five types: type Ⅰ, simple subcapsular hematoma, type Ⅱ, focal contusion of renal parenchyma, type Ⅲ, type Ⅲ renal parenchyma Extensive laceration of the hematoma with renal fascia cysts, 16 cases; type Ⅳ, renal contusion and renal hematoma with hematoma in 11 cases; type Ⅴ, renal pedicle laceration, 2 cases. Conclusion CT can clearly show the extent and extent of renal injury, as well as the presence or absence of adjacent organ damage. CT classification can provide an important basis for clinical choice of treatment.