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目的 探讨肾损伤的诊断与治疗 ,以提高保肾率。方法 通过对 138例闭合性肾损伤回顾分析 ,其中伴合并伤 4 2例占 30 .4 3 %。B超检查 97例 ,IVU检查 2 9例 ,CT检查 12例 ,非手术治疗 10 4例占 75.36% ,手术治疗 34例占 2 4 .64 %。结果 B超检出率为 83 .51% ,IVU检出率为 89.66% ,CT检出率为 10 0 %。非手术治愈 10 4例 ,手术治愈 31例 ,死亡 3例。结论 B超检查最便捷 ,可初步判断伤肾情况。CT检查可准确地诊断肾损伤程度 ,增强后可观察双肾功能状况。手术治疗应掌握探查肾脏的时机 ,尽早修复肾脏 ,以降低肾损伤切肾率 ,保守治疗是重要的治疗方法
Objective To investigate the diagnosis and treatment of renal injury in order to improve the rate of invigorating kidney. Methods 138 cases of closed renal damage were retrospectively analyzed, of which 42 cases were complicated with injuries, accounting for 30.43%. There were 97 cases of B ultrasound examination, 29 cases of IVU examination and 12 cases of CT examination. The non-surgical treatment of 104 cases accounted for 75.36%, surgical treatment 34 cases accounted for 24.464%. Results The detection rate of B ultrasound was 83.51%, the detection rate of IVU was 89.66%, and the detection rate of CT was 100%. Non-surgical cure 104 cases, 31 cases were cured, 3 died. Conclusion B-ultrasound is the most convenient and can determine the initial injury of kidney. CT examination can accurately diagnose the degree of renal injury, enhanced renal function can be observed after the condition. Surgical treatment should have the opportunity to explore the kidneys, as soon as possible to repair the kidneys, renal injury in order to reduce the rate of renal failure, conservative treatment is an important treatment