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探讨肾损伤的诊断及治疗方法。方法 :对 1994年 4月～ 1999年 4月收治的 10 4例肾损伤回顾性分析。结果 :肾挫伤 77例 ,肾裂伤 18例 ,肾碎裂伤 8例 ,肾蒂伤 1例。合并伤 2 8例。其中B超检查 73例 ,阳性率 87.6 % ,CT检查 2 8例 ,阳性率 92 .8%。保守治疗 90例 ,均治愈。手术治疗 14例 ,其中肾切除 9例 ,死亡 1例。结论 :根据受伤史、血尿、体征及特殊检查 ,肾损伤可分为三种类型。B超、CT检查对诊断肾损伤具有简单、安全、分型正确等优点。强调对复合伤患者要进行包括尿液检查在内的泌尿系统检查。大多数肾损伤可通过保守治疗治愈。对严重肾损伤合并多处脏器损伤时主张切除患肾以挽救病人生命。但必须在术前、术中检查对侧肾功能。
To investigate the diagnosis and treatment of renal injury. Methods: A retrospective analysis of 104 cases of renal injury from April 1994 to April 1999 was performed. Results: There were 77 cases of renal contusion, 18 cases of kidney laceration, 8 cases of renal fragmentation and 1 case of pediatric renal pedicle injury. Combined injuries in 28 cases. The B-ultrasound 73 cases, the positive rate was 87.6%, 28 cases of CT examination, the positive rate of 92.8%. Conservative treatment of 90 cases were cured. Surgical treatment of 14 cases, including 9 cases of nephrectomy, 1 died. Conclusion: According to the history of injury, hematuria, signs and special inspection, kidney injury can be divided into three types. B ultrasound, CT examination for the diagnosis of renal injury with a simple, safe, the correct classification and so on. It is emphasized that urological tests, including urine tests, should be performed on patients with multiple injuries. Most kidney damage can be cured by conservative treatment. Severe renal injury associated with multiple organ damage advocated excision of the kidney to save the patient’s life. But must be preoperative and intraoperative check contralateral renal function.