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目的:探讨闭合性肾损伤的诊断和治疗原则。方法:回顾性分析189例闭合性肾损伤病例的临床资料。结果:152例、75例、31例分别行B超、CT、静脉尿路造影(IVU)检查,其检出率分别为88.2%、100.0%、67.7%。采用保守治疗142例,手术治疗47例,其中保肾手术33例。治愈188例,死亡1例。137例随访1～3年,尿常规及肾功能检查正常。结论:CT检查准确率高,可正确评估肾损伤程度并可同时了解其他脏器受损程度。合理保肾治疗是治疗闭合性肾损伤的关键,具体方案取决于肾损伤程度、范围及合并伤情况。
Objective: To investigate the diagnosis and treatment of closed renal injury. Methods: A retrospective analysis of 189 cases of closed renal injury clinical data. Results: The detection rates were 88.2%, 100.0% and 67.7% respectively in 152 cases, 75 cases and 31 cases underwent B-mode ultrasonography, CT and IVU. The conservative treatment of 142 cases, surgical treatment of 47 cases, including kidney surgery in 33 cases. 188 cases were cured and 1 died. 137 cases were followed up for 1 to 3 years, urine and renal function tests were normal. Conclusion: The accuracy of CT examination is high, the degree of renal injury can be evaluated correctly and the damage degree of other organs can be understood at the same time. Reasonable kidney treatment is the key to the treatment of closed kidney injury, the specific program depends on the extent of renal injury, the scope of the situation and the merger injury.