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目的 探讨CT检查在外伤性肾损伤的诊断及临床治疗中的价值。方法 对 78例外伤性肾损伤的临床、CT表现进行回顾性分析。结果 依据CT表现将肾损伤分为 4型:Ⅰ型肾挫伤(肾内血肿)36例;Ⅱ型肾包膜下出血 28例;Ⅲ型严重肾损伤 (肾横断或肾碎裂)16例;Ⅳ型单纯肾周血肿 2例。其中对Ⅰ型、Ⅱ型一般采用保守治疗,对Ⅲ型往往采用手术治疗。结论 CT能明确诊断肾损伤,并确定损伤的类型,为临床治疗方案的制订提供重要依据。
Objective To investigate the value of CT in the diagnosis and clinical treatment of traumatic renal injury. Methods The clinical and CT findings of 78 cases of traumatic renal injury were analyzed retrospectively. Results According to the CT findings, renal injury was divided into 4 types: type Ⅰ renal contusion (intrarenal hematoma) in 36 cases; type Ⅱ renal subarachnoid hemorrhage in 28 cases; type Ⅲ severe renal injury (renal cross or renal fragmentation) in 16 cases; Type IV simple perirenal hematoma in 2 cases. Which type Ⅰ, type Ⅱ generally conservative treatment, type Ⅲ are often treated by surgery. Conclusion CT can clearly diagnose renal injury and determine the type of injury, providing an important basis for the development of clinical treatment plan.